Individual
DR. JEFFREY ROSS WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4815 W ARROWHEAD RD, SUITE 120, HERMANTOWN, MN 55811-4004
(218) 625-1917
(218) 625-7182
Mailing address
4815 W ARROWHEAD RD, SUITE 120, HERMANTOWN, MN 55811-4004
(218) 625-1917
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
42784
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
246970700
—
MN
Enumeration date
10/04/2006
Last updated
07/06/2010
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