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Individual

DEBRA WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286
(906) 632-2805
Mailing address
3865 S MACKINAC TRL, SAULT SAINTE MARIE, MI 49783-9286

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
DW222534
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7509104110
BCBS
MI
Enumeration date
10/12/2006
Last updated
07/08/2007
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