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Individual
STEPHEN MICHAEL WEAVER
Active
Individual
STEPHEN MICHAEL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28218492A
IN
363LF0000X
Family Nurse Practitioner
Primary
71016228A
IN
Other
Enumeration date
01/23/2025
Last updated
02/17/2025
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