Individual
DR. IAN ALLAN WEISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2925 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4329
(414) 649-6430
(414) 649-5563
Mailing address
1660 N PROSPECT AVE, #2207, MILWAUKEE, WI 53202-2400
(414) 289-7662
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
47301
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43517500
—
WI
Enumeration date
05/03/2006
Last updated
07/08/2007
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