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Dr. Jonathan Wade Weiss, MD
Nuclear Radiology Physician in Mishawaka, Indiana
NPI 1881779700

Jonathan Wade Weiss is a Nuclear Radiology Physician based in Mishawaka, IN and is specialized in Nuclear Radiology. Jonathan Wade Weiss practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Jonathan Wade Weiss is 1881779700 and holds a License No. 47571-020 (Indiana).

The current practice location address for Jonathan Wade Weiss is 620 W Edison Rd, Mishawaka, IN and can be reached out via phone at 574-258-1100 and via fax at 574-258-1101. You can also correspond with Jonathan Wade Weiss through the mailing address at 620 W EDISON RD, MISHAWAKA, IN - 46545-2784 (mailing address contact number: 574-258-1100).

Location: 620 W Edison Rd, Mishawaka, IN, 46545-2784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881779700
Provider Name
Jonathan Wade Weiss
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 W Edison Rd, Mishawaka, IN, 46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
Provider Enumeration Date
10/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200949650 05 IN
institution
Provider Business Practice Location Address Details
Address
620 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
person
Provider Business Mailing Address Details
Address
620 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
01065200A (Indiana)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
47571-020 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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