Individual
DR. MICHAEL DENNIS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1102 W 32ND ST, JOPLIN, MO 64804-3503
(417) 347-6612
(417) 347-3775
Mailing address
4560 E 24TH ST, JOPLIN, MO 64804-3463
(114) 178-2506
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2023043514
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2021
Last updated
07/16/2024
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