Larry W Weiss
Dermatologist Procedural Dermatology Pediatric Dermatologist
208 E Church St Suite 102
Marshalltown
, Iowa 50158-2961
Larry W Weiss
Dermatologist Procedural Dermatology Pediatric Dermatologist
208 E Church St Suite 102
Marshalltown
, Iowa 50158-2961
(641) 753-2190
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About
Features
Specialties
- Dermatologist
- Pediatric Dermatologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Larry W Weiss
- 208 E Church St Suite 102
- Marshalltown, IA
- Zip : 50158-2961
- Fax : (641) 753-2190
- Phone : (641) 752-9538
Second Address
- Larry W Weiss
- 208 E Church St Suite 102
- Marshalltown, IA
- Zip : 50158-2961
- Fax : (641) 753-2190
- Phone : (641) 752-9538
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FAQs
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Is Larry W Weiss a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 20021 | IA |
| N | 207NP0225X | Pediatric Dermatologist | 20021 | IA |
| N | 207NS0135X | Procedural Dermatology | 20021 | IA |
National Provider Identifier
| NPI | 1194734194 |
|---|---|
| Provider Name | Larry W Weiss |
| First Address | Marshalltown, IA 50158-2961 |
| Second Address | Marshalltown, IA 50158-2961 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2006 |
| Last Update Date | 01/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0123562 | (05) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.