Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 01082178A | IN |
N | 207X00000X | Orthopaedic Surgeon | R5224 | TX |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | R5224 | TX |
NPI | 1851731129 |
---|---|
Provider Name | Martin H.s. Weisman |
First Address | Chesterton, IN 46304-9658 |
Second Address | Schererville, IN 46375-1674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2013 |
Last Update Date | 19/03/2021 |