Individual
MICHAEL WEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1165 S DORA ST, UKIAH, CA 95482-8325
(707) 463-3636
(707) 463-2714
Mailing address
1165 S DORA ST, UKIAH, CA 95482-8325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G40152
CA
2085R0001X
Radiation Oncology Physician
Primary
G40152
CA
Other
Enumeration date
05/04/2017
Last updated
03/29/2021
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