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Individual

MRS. KELLY JOANNE WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
5400 MACKINAW, SUITE 1400, SAGINAW, MI 48604
(989) 583-5193
(989) 583-5226
Mailing address
1447 N. HARRISON, SAGINAW, MI 48602
(989) 583-5153
(989) 583-5226

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704191818-RN
MI

Other

Enumeration date
01/25/2018
Last updated
01/25/2018
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