Individual
MR. WILLIAM MICHAEL WEISS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2148 VADALABENE DR, MARYVILLE, IL 62062-5632
(618) 288-3100
Mailing address
2148 VADALABENE DR, MARYVILLE, IL 62062-0001
(618) 288-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.296738
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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