Individual
BRIAN J WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
5035 MAYFIELD RD, SUITE #215, LYNDHURST, OH 44124-2688
(440) 382-8070
(216) 382-6767
Mailing address
5035 MAYFIELD RD, SUITE #215, LYNDHURST, OH 44124-2688
(440) 382-8070
(216) 382-6767
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36-00-2169-W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0678306
—
OH
Enumeration date
09/22/2005
Last updated
11/28/2012
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