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Contact Information

LARRY WEISS, DPM
17421 GREENFIELD
DETROIT, MI48235
 Phone: 313-273-7091
 Fax: 313-273-7694
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LARRY WEISS · (Male)

NPI # 1851325294
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/10/2006
Last updated 02/12/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 382244642
  • MI Medicaid 1485013
  • MI Other 382244642 TAX ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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