Individual
DONALD WILLARD WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HARPER PROFESSIONAL BLDG STE 615, 4160 JOHN R, DETROIT, MI 48201
(313) 745-4195
(313) 993-8669
Mailing address
1560 E MAPLE RD, SUITE 400 - CREDENTIALING, TROY, MI 48083-1189
(313) 745-4195
(313) 993-8669
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301036048
MI
Other
Enumeration date
06/02/2006
Last updated
05/25/2016
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