Individual
ERIK S WEISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2350 MIAMI VALLEY DR STE 500, CENTERVILLE, OH 45459-4780
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE STE 200, DAYTON, OH 45414-2855
(937) 280-8400
(937) 280-8373
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01061364A
IN
208800000X
Urology Physician
Primary
35-096132
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0748972
—
OH
05
—
100081380
—
IN
05
—
200531020
—
IN
05
—
2683323
—
OH
Enumeration date
02/14/2006
Last updated
01/07/2022
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