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Individual
NATHAN WEAVER
Active
Individual
NATHAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6002141-15
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
06/03/2026
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