Organization
LARRY WEISS DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HILLSON (BILLING AGENT)
(248) 569-5960
Entity
Organization
Contact information
Practice address
17421 GREENFIELD, DETROIT, MI 48235
(313) 273-7091
(313) 273-7694
Mailing address
17421 GREENFIELD, DETROIT, MI 48235
(313) 273-7091
(313) 273-7694
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1485013
—
MI
Enumeration date
07/10/2006
Last updated
02/21/2008
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