Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD048457L | PA |
NPI | 1366448409 |
---|---|
Provider Name | Dr. Michelle Melanie Weiss |
First Address | York, PA 17403-5164 |
Second Address | York, PA 17403-5164 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 25/05/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G09351 | (02) | PA |