Individual
JULIE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
22301 FOSTER WINTER DR, SECOND FLOOR, SOUTHFIELD, MI 48075-3707
(248) 552-0620
Mailing address
22301 FOSTER WINTER DR FL 2, SOUTHFIELD, MI 48075-3707
(248) 229-4690
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704284608
MI
Other
Enumeration date
09/29/2014
Last updated
12/26/2018
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