Individual
DR. JOHN PAUL WEISE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
27430 FORD RD, GARDEN CITY, MI 48135-2919
(734) 421-4040
(734) 421-4040
Mailing address
27430 FORD RD, GARDEN CITY, MI 48135-2919
(734) 421-4040
(734) 421-4040
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002716
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H25000
BCBSM
MI
01
—
11291808
CAQH
MI
Enumeration date
05/09/2006
Last updated
07/08/2007
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