DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TIMOTHY E. WIESS MD

MEDICARE: TIMOTHY E. WIESS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician01049993AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000721937OTHERINANTHEM TRADITIONAL

General Provider Information

NPI Number : 1710910815
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIMOTHY E. WIESS MD
Provider Business Mailing Address
First Line : PO BOX 781076
Second Line :
City : DETROIT
State : MI
Zip : 48278-1076
Country : US
Telephone Number : 317-528-4800
Fax Number : 317-865-1479
Provider Business Practice Location Address
First Line : 9470 BROADWAY
Second Line :
City : CROWN POINT
State : IN
Zip : 46307-5722
Country : US
Telephone Number : 219-661-3260
Fax Number : 219-662-3765
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 09/28/2023

Similar Medicare Providers

1780844910 — CROWN MEDICARE INC.
Practice Location Address:
2243 S 24TH AVE
BROADVIEW, IL
60155-3820
Practice Phone: 708-338-3305
Practice Fax: 708-338-3306
1093717746 — JORIE J. MOBERLEY PHD, CPNP
Practice Location Address:
9470 BROADWAY
CROWN POINT, IN
46307-5722
Practice Phone: 219-661-3260
Practice Fax: 219-661-3770
1841385952 — HEMENDRA S PARIKH MD
Practice Location Address:
9470 BROADWAY
CROWN POINT, IN
46307-5722
Practice Phone: 219-661-3260
Practice Fax: 219-662-3765
1467693580 — DR. SAHAR GAMAL HANNA MD
Practice Location Address:
9470 BROADWAY
CROWN POINT, IN
46307-5722
Practice Phone: 219-661-3260
Practice Fax: 219-662-3770
1720308992 — SARAH ANN KATS NURSE PRACTITIONER
Practice Location Address:
9470 BROADWAY
CROWN POINT, IN
46307-5722
Practice Phone: 219-661-3260
Practice Fax: 219-662-3770
1639470685 — DR. CHRISTINA HA M.D.
Practice Location Address:
9470 BROADWAY
CROWN POINT, IN
46307-5722
Practice Phone: 219-661-3255
Practice Fax: 219-662-3765

Directions to “ TIMOTHY E. WIESS MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.