Individual
DR. GALEN A WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1698 OLD LEBANON RD, SUITE 3A, CAMPBELLSVILLE, KY 42718-9662
(270) 465-0632
(270) 789-6119
Mailing address
1698 OLD LEBANON RD, SUITE 3A, CAMPBELLSVILLE, KY 42718-9662
(270) 465-0632
(270) 789-6119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036117981
IL
207X00000X
Orthopaedic Surgery Physician
Primary
28849
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64288491
—
KY
Enumeration date
08/16/2005
Last updated
12/07/2010
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