Individual
MELISSA N WEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12700 SOUTHFORK RD, SAINT LOUIS, MO 63128-3201
(314) 892-6565
(314) 892-4828
Mailing address
12700 SOUTHFORK RD, STE 270, SAINT LOUIS, MO 63128-3201
(314) 892-6565
(314) 892-4828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.096141
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2011028712
MO
207RP1001X
Pulmonary Disease Physician
Primary
2011028712
MO
Other
Enumeration date
11/10/2008
Last updated
03/14/2017
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