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1902807837

NPI Code Detail

MEDICARE: NADINE WEISSER MD

MEDICARE: NADINE WEISSER 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
1	207V00000X	Obstetrics & Gynecology Physician	NW043389	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1601311071	OTHER	MI	BCN
3	1601311071	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1902807837
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADINE WEISSER MD

Provider Business Mailing Address
First Line	:	3238 CAPITAL AVE SW
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-4302
Country	:	US
Telephone Number	:	269-979-6342
Fax Number	:	269-979-6435

Provider Business Practice Location Address
First Line	:	3238 CAPITAL AVE SW
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49015-4302
Country	:	US
Telephone Number	:	269-979-6342
Fax Number	:	269-979-6435

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	07/08/2007

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Directions to “ NADINE WEISSER MD” Practice Location

Language	Start Address	Practice Location

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