Individual
DR. ANDREW CHARLES WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
158 WATER ST N STE 1, NORTHFIELD, MN 55057-2125
(507) 649-1286
Mailing address
505 AMES ST, NORTHFIELD, MN 55057-2806
(507) 581-2523
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4736
MN
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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