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Individual

DR. LAWRENCE ROBERT WEISS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
44170 W. 12 MILE RD, STE. 100, NOVI, MI 48377
(248) 624-9393
(248) 773-8740
Mailing address
44170 W. 12 MILE RD, STE. 100, NOVI, MI 48377
(248) 624-9393
(248) 773-8740

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007148
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
168901
SELECTCARE PROVIDER #
MI
05
3495449
MI
01
383418444
TAX ID
MI
01
95035449
BCBS PROVIDER #
MI
01
P99468
BCN PROVIDER #
MI
Enumeration date
02/12/2007
Last updated
07/08/2021
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