Individual
DEBRA RENE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC., RN
Contact information
Practice address
1075 HADLEY AVE N, SUITE 106, OAKDALE, MN 55128-5951
(651) 235-7324
Mailing address
1075 HADLEY AVE N, SUITE 106, OAKDALE, MN 55128-5951
(651) 235-7324
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1195
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
96104
HEALTHPARTNERS PROVIDER
MN
Enumeration date
01/14/2007
Last updated
07/08/2007
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