Individual
KEVIN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
900 COOPER AVE STE 4100, SAGINAW, MI 48602-5182
(989) 583-4700
Mailing address
1447 N HARRISON ST, SAGINAW, MI 48602-4727
(989) 583-4700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704270679
MI
363LF0000X
Family Nurse Practitioner
Primary
4704270679
MI
Other
Enumeration date
01/23/2015
Last updated
08/31/2023
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