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Individual

DR. MICHAEL D WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1020 N MASON RD, DIV SURG ACCS PODIATRY, STE 225, SAINT LOUIS, MO 63141-6666
(314) 747-4769
(888) 824-2176
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 747-4769
(888) 824-2176

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000467
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
301750006
MO
Enumeration date
11/21/2005
Last updated
04/17/2025
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