Doctor Name: | DR. GARY MICHAEL WEISS |
NPI Number: | 1235114505 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME37447 |
Business Practice Address: | 167 Kualapa Pl Lahaina, HI - 967612902 |
Business Phone Number: | 9525951100 |
Business Fax Number: | 9529423361 |
Mailing Address: | 11995 Singletree Ln, Suite 500 EDEN PRAIRIE |
State: | MN |
Postal Code: | 553445347 |
Phone Number: | 9525951100 |
Fax Number: | 9529423361 |
NPI Enumeration Date: | 12/09/2005 |
NPI Last Update Date: | 12/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | ME37447 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |