Individual
DENISE C WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 S LAKE PARK AVE STE 304, HOBART, IN 46342-6791
(219) 947-6638
(219) 703-6693
Mailing address
8558 BROADWAY, MERRILLVILLE, IN 46410-7032
(219) 392-7084
(219) 703-6854
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01040182
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100361920
—
IN
Enumeration date
04/28/2006
Last updated
04/14/2021
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