Individual
DAVID WEATHERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8300
(651) 254-8379
Mailing address
8170 33RD AVE S # 21110Q, BLOOMINGTON, MN 55425-4516
(651) 254-8300
(651) 254-8379
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
137749
CA
207X00000X
Orthopaedic Surgery Physician
Primary
68544
MN
207XX0801X
Orthopaedic Trauma Physician
68544
MN
207XX0801X
Orthopaedic Trauma Physician
MD181878
OR
Other
Enumeration date
07/23/2015
Last updated
07/21/2022
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