Individual
KATHERINA MARY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13154 S 18TH ST, VICKSBURG, MI 49097-8431
(475) 206-8654
Mailing address
13154 S 18TH ST, VICKSBURG, MI 49097-8431
(475) 206-8654
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703105434
MI
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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