Provider Demographics
NPI:1912906827
Name:WEISS, ARNO JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNO
Middle Name:
Last Name:WEISS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ARNO
Other - Middle Name:
Other - Last Name:WEISS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:800 COOPER AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-5394
Mailing Address - Country:US
Mailing Address - Phone:989-753-2061
Mailing Address - Fax:989-753-5270
Practice Address - Street 1:1447 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4727
Practice Address - Country:US
Practice Address - Phone:989-583-4114
Practice Address - Fax:989-583-1349
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301032786208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI102105235Medicaid
MIA77665Medicare UPIN
MI0739361Medicare PIN