Individual
DR. MICHAEL A WEICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 23RD ST STE 6, ASHLAND, KY 41101-2845
(606) 329-1770
(606) 329-1768
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
2016-00155
NC
207T00000X
Neurological Surgery Physician
Primary
TP497
KY
Other
Enumeration date
03/18/2008
Last updated
12/06/2016
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