Individual
MICHAEL B WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 E OAK ST, MONTICELLO, IA 52310-1745
(319) 465-6702
(319) 465-6727
Mailing address
740 E OAK ST, MONTICELLO, IA 52310-1745
(319) 465-6702
(319) 465-6727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30649
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080148493
RR MEDICARE
IA
05
—
1194702241
—
IA
05
—
4111245
—
IA
05
—
6111245
—
IA
Enumeration date
12/29/2005
Last updated
05/22/2012
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