MEDICARE: DR. ARNO WEISS JR. M.D.

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	208200000X	Plastic Surgery Physician	4301032786	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

General Provider Information

NPI Number	:	1912906827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARNO WEISS JR. M.D.

Provider Business Mailing Address
First Line	:	800 COOPER AVE
Second Line	:	SUITE 1
City	:	SAGINAW
State	:	MI
Zip	:	48602-5394
Country	:	US
Telephone Number	:	989-753-2061
Fax Number	:	989-753-5270

Provider Business Practice Location Address
First Line	:	1447 N HARRISON ST
Second Line	:
City	:	SAGINAW
State	:	MI
Zip	:	48602-4727
Country	:	US
Telephone Number	:	989-583-4114
Fax Number	:	989-583-1349

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	03/26/2021

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