Individual
WILLIAM THOMAS WEAVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
CENTRAL MICHIGAN UNIVERSITY, CHIP FACILITY, MT PLEASANT, MI 48859-0001
(989) 774-1663
Mailing address
200 W ESSEX DR, SAINT LOUIS, MI 48880-9524
(989) 681-2655
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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