Individual
DR. GREGORY L WEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2554 WOODMEADOW DR SE, GRAND RAPIDS, MI 49546-8033
(616) 942-4010
(616) 942-9929
Mailing address
2554 WOODMEADOW DR SE, GRAND RAPIDS, MI 49546-8033
(616) 942-4010
(616) 942-9929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11723
MI
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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