| Doctor Name: | MARC WEITZMAN |
| NPI Number: | 1760406748 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 000907 |
| Business Practice Address: | 10425 Kingston Ave Huntington Woods, MI - 480701113 |
| Business Phone Number: | 2485471020 |
| Business Fax Number: | |
| Mailing Address: | 10425 Kingston Ave, HUNTINGTON WOODS |
| State: | MI |
| Postal Code: | 480701113 |
| Phone Number: | 2485471020 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 04/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 000907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |