Individual provider · Type 1 NPI

Jonathan Wade Weiss, MD

Diagnostic Radiology Physician · Mishawaka, IN

NPI number 1881779700 Active

Practice location

620 W Edison Rd, Suite 110
Mishawaka, IN 46545-2784

Call (574) 258-1100 Map

Fax (574) 258-1101

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X47571-020 (WI)
Nuclear Radiology Physician 2085N0904X01065200A (IN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1881779700

Jonathan Wade Weiss, MD's National Provider Identifier is 1881779700, issued on Oct 26, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Mishawaka, IN. The record was last updated on May 16, 2013.