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Individual
DR. MICHAEL DENNIS WEAVER
Active
Individual
DR. MICHAEL DENNIS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O., M.S.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
03255
KY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1593
NE
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
03255
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
02/10/2007
Last updated
02/17/2017
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