Organization
BRIAN J WEISS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN WEISS (OWNER)
(216) 382-8070
Entity
Organization
Contact information
Practice address
2877 SHAKER CREST BLVD, BEACHWOOD, OH 44122-2325
(216) 382-8070
Mailing address
2877 SHAKER CREST BLVD, BEACHWOOD, OH 44122-2325
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2843212
—
OH
Enumeration date
10/02/2007
Last updated
01/12/2012
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