Individual
MARK WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
G3239 BEECHER RD, SUITE F, FLINT, MI 48532-3616
(810) 733-6780
(810) 733-6939
Mailing address
1141 SPRINGBORROW DR, FLINT, MI 48532-2141
(810) 230-8353
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301050600
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0990536
HEALTH PLUS
MI
01
—
1020941
MCLAREN HEALTH PLAN
MI
01
—
1608119
FIRST HEALTH
MI
01
—
230141
HAP/HEALTH ALLIANCE PLAN
MI
01
—
4020942
MCLAREN
MA
05
—
4822449100
—
MI
05
—
4822485100
—
MI
05
—
4822494100
—
MI
05
—
4891787
—
MI
05
—
4891811
—
MI
01
—
RA820073
MCARE
MI
Enumeration date
05/03/2006
Last updated
07/09/2007
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