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Individual

MICHAEL J WEYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101271245
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
0101271245
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
43629
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
70727724
CO
Enumeration date
10/03/2006
Last updated
03/09/2022
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