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Larry Weiss, DPM
Foot & Ankle Surgery Podiatrist in Detroit, Michigan
NPI 1851325294

Larry Weiss is a Foot & Ankle Surgery Podiatrist based in Detroit, MI and is specialized in Foot & Ankle Surgery. Larry Weiss practices in Detroit, MI and has the professional credentials of DPM. The NPI Number for Larry Weiss is 1851325294 and holds a License No. 382244642 (Michigan).

The current practice location address for Larry Weiss is 17421 Greenfield, Detroit, MI and can be reached out via phone at 313-273-7091 and via fax at 313-273-7694.

Location: 17421 Greenfield, Detroit, MI, 48235-3700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851325294
Provider Name
Larry Weiss
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
17421 Greenfield, Detroit, MI, 48235-3700
Phone Number
313-273-7091
Fax Number
313-273-7694
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
382244642 01 MI TAX ID
1485013 05 MI
institution
Provider Business Practice Location Address Details
Address
17421 Greenfield
City
Detroit
State
Michigan
Zip
48235
Phone Number
313-273-7091
Fax Number
313-273-7694
person
Provider Business Mailing Address Details
Address
17421 Greenfield
City
Detroit
State
Michigan
Zip
48235
Phone Number
313-273-7091
Fax Number
313-273-7694
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
382244642 (Michigan)
Definition
Definition to come...
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