Weiss, John David

Weiss, John David is an individual health care provider with primary practice located at 420 W Magnetic St , Marquette MI 49855-2711. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Weiss, John David can be contacted via phone (906) 228-9440.

Contact Information

Primary practice address
420 W Magnetic St Marquette MI 49855-2711
Phone: (906) 228-9440
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301039795 Michigan

Profile Details

NPI number 1801963152
LBN Legal business name Weiss, John David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 6th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801963152 NPPES
Wisconsin MEDICAID 34031500
Wisconsin Other 2746802
Wisconsin Other 1022269
Wisconsin Other 220014258
Wisconsin Other 2746802
Wisconsin MEDICAID 2746802

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