Individual
RAVEN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 S MAIN ST, OTTAWA, KS 66067-3315
(785) 242-9889
(785) 229-8447
Mailing address
901 S MAIN ST, OTTAWA, KS 66067-3315
(785) 242-9889
(785) 229-8447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-51666
KS
Other
Enumeration date
03/25/2022
Last updated
10/03/2025
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