Individual
MATTHEW JAY WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 CHATEAUX DU LAC, FENTON, MI 48430-9140
(810) 964-2331
(810) 603-3704
Mailing address
1 CHATEAUX DU LAC, FENTON, MI 48430-9140
(810) 964-2331
(810) 603-3704
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5101007703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3371370
—
MI
Enumeration date
08/29/2006
Last updated
10/07/2025
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