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Individual

MARK WEISSMAN

Active
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Individual

MARK WEISSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15521
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100230000A
OK
01
374380YRHZ
MEDICARE PTAN
OK
Enumeration date
04/17/2007
Last updated
05/16/2023
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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