Organization
MICHAEL D WEISS DPM AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBYN WEISS (OFFICE MANAGER)
(314) 542-2313
Entity
Organization
Contact information
Practice address
969 N MASON RD STE 180, SAINT LOUIS, MO 63141-6338
(314) 542-2313
(314) 542-2315
Mailing address
PO BOX 1125, MARYLAND HEIGHTS, MO 63043-0125
(314) 542-2313
(314) 542-2315
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500122106
—
MO
01
—
CF9449
RAILROAD MEDICARE
MO
Enumeration date
09/14/2006
Last updated
09/16/2008
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