Provider Demographics
NPI:1326042219
Name:WEISMAN, ARTHUR M (DPM)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:M
Last Name:WEISMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2406 E R D MIZE RD
Mailing Address - Street 2:STE B
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64057-1947
Mailing Address - Country:US
Mailing Address - Phone:816-478-3338
Mailing Address - Fax:816-373-0054
Practice Address - Street 1:2406 E R D MIZE RD
Practice Address - Street 2:STE B
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64057-1947
Practice Address - Country:US
Practice Address - Phone:816-478-3338
Practice Address - Fax:816-373-0054
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO000565213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist