Individual
DR. GARY MICHAEL WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
167 KUALAPA PL, LAHAINA, HI 96761-2902
(952) 595-1100
(952) 942-3361
Mailing address
11995 SINGLETREE LN, SUITE 500, EDEN PRAIRIE, MN 55344-5347
(952) 595-1100
(952) 942-3361
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD9383
HI
2085R0202X
Diagnostic Radiology Physician
ME37447
FL
Other
Enumeration date
12/09/2005
Last updated
12/10/2010
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