Individual
DONALD GREGORY WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3949 SUNFOREST CT, SUITE 202, TOLEDO, OH 43623-4473
(419) 474-1111
(419) 474-1255
Mailing address
2200 JEFFERSON AVE, 4TH FLOOR - ATTN: JUDY KORNMEIER, TOLEDO, OH 43604-7101
(419) 251-1963
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
35044035
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0400702
—
OH
Enumeration date
12/16/2005
Last updated
09/10/2014
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