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Individual

MICHAEL PAUL WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1130 S CANFIELD NILES RD, AUSTINTOWN, OH 44515-4036
(330) 799-1110
(330) 799-1254
Mailing address
1130 S CANFIELD NILES RD, AUSTINTOWN, OH 44515-4036
(330) 799-1110
(330) 799-1254

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2341
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2055725
OH
Enumeration date
10/31/2007
Last updated
04/01/2013
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