Individual
DOUGLAS MARTIN WEISSMAN
Active
Individual
DOUGLAS MARTIN WEISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01077964A
IN
207RG0100X
Gastroenterology Physician
01077964A
IN
207RG0100X
Gastroenterology Physician
Primary
036144304
IL
207RG0100X
Gastroenterology Physician
25MA04832600
NJ
207RG0100X
Gastroenterology Physician
35.129369
OH
207RG0100X
Gastroenterology Physician
3872
WI
207RG0100X
Gastroenterology Physician
MD479317
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0448319
—
OH
05
—
100265946
—
WI
01
—
1101997375
ANTHEM PTAN
IN
Enumeration date
07/28/2006
Last updated
12/03/2025
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