Organization
BRIAN H. WEISS, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN H WEISS MD (PRESIDENT)
(219) 662-2224
Entity
Organization
Contact information
Practice address
119 E 89TH AVE, MERRILLVILLE, IN 46410-7184
(219) 736-1344
Mailing address
119 E 89TH AVE, MERRILLVILLE, IN 46410-7184
(219) 736-1344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01024744
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080144835
RAILROAD MEDICARE PTAN
IN
Enumeration date
01/12/2007
Last updated
05/27/2011
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