Individual
CHAD H WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007
(507) 373-2384
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
(507) 373-2384
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
53511
MN
Other
Enumeration date
06/29/2009
Last updated
01/30/2024
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