Individual
DR. JOHN DAVID WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2711
(906) 228-9440
Mailing address
420 W MAGNETIC ST, MARQUETTE, MI 49855-2711
(906) 228-9440
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301039795
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022269
PREFERRED ONE
MI
01
—
220014258
RAILROAD MEDICARE
MI
01
—
2746802
MOLINA HEALTHCARE
MI
05
—
2746802
—
MI
05
—
34031500
—
WI
Enumeration date
11/30/2006
Last updated
01/06/2009
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