Individual
DANIEL WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD FACP CDE
Contact information
Practice address
8300 TYLER BOULEVARD, SUITE 102, MENTOR, OH 44060-4251
(440) 266-5000
(440) 266-5004
Mailing address
PO BOX 19160, CLEVELAND, OH 44119-0160
(440) 833-4056
(440) 833-4068
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35053498
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0626871
—
OH
Enumeration date
10/20/2005
Last updated
02/13/2015
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