Individual
AMY M WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4100 JOHN R, KARMANOS CANCER CENTER, DETROIT, MI 48201-2013
(800) 527-6266
(313) 576-8767
Mailing address
1560 E MAPLE ROAD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(800) 527-6266
(313) 576-8767
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101016156
MI
207RX0202X
Medical Oncology Physician
Primary
5101016156
MI
Other
Enumeration date
05/18/2007
Last updated
12/05/2016
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