Individual
DR. JEAN M WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 410, FORT WAYNE, IN 46845-0025
(260) 266-5260
(260) 266-5279
Mailing address
200 LOTHROP ST, FORBES TOWER, SUITE 9055, PITTSBURGH, PA 15213-2536
(412) 647-3087
(412) 647-4486
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD029671E
PA
207RP1001X
Pulmonary Disease Physician
Primary
01079950A
IN
207RP1001X
Pulmonary Disease Physician
MD029671E
PA
Other
Enumeration date
08/10/2005
Last updated
04/10/2018
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