Individual
WEI MICHAEL SI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4770 REGENT BLVD, IRVING, TX 75063-2445
(972) 934-4300
Mailing address
14275 MIDWAY RD STE 400, ADDISON, TX 75001-3676
(972) 934-4300
(610) 271-4245
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M2103
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178022301
—
TX
01
—
P00241772
RR MEDICARE
TX
Enumeration date
11/07/2005
Last updated
07/21/2022
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