Individual
SUSAN WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
351 W CAMDEN ST, BALTIMORE, MD 21201-7912
(410) 625-2200
Mailing address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
03937
OH
363LA2200X
Adult Health Nurse Practitioner
119841
OH
Other
Enumeration date
09/11/2012
Last updated
06/28/2020
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