Individual
MR. MICHAEL K WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
380 GATEWAY DR, SLIDELL, LA 70461-5540
(985) 690-6600
(985) 690-9860
Mailing address
PO BOX 1125, SLIDELL, LA 70459-1125
(985) 690-6600
(985) 690-9860
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12595R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016132
MEDICARE RAIL ROAD
LA
05
—
1537811
—
LA
01
—
721481637001
TRICARE SOUTH
LA
Enumeration date
11/28/2006
Last updated
06/11/2012
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