Individual
MICHAEL A WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 270-7500
(717) 228-1642
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD053869L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD053869L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33030
AMERIHEALTH MERCY HEALTH
PA
Enumeration date
01/04/2006
Last updated
05/06/2026
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