Individual
DR. JOEL CHARLES WEISS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1360 10TH ST N, FARGO, ND 58102-2502
(701) 237-5517
(701) 237-3262
Mailing address
1360 10TH ST N, FARGO, ND 58102-2502
(701) 237-5517
(701) 237-3262
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
416
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14045
—
ND
01
—
4308
ND BLUE CROSS/BLUE SHIELD
ND
01
—
8Z158WE
MN BLUE CROSS/BLUE SHIELD
MN
Enumeration date
08/10/2005
Last updated
07/08/2007
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