Individual
DR. DUSTIN JAMES WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5236
NE
2086S0129X
Vascular Surgery Physician
Primary
9157
SD
Other
Enumeration date
08/27/2007
Last updated
06/30/2014
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