Individual
MS. MARIA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1692 LARKMOOR BLVD, BERKLEY, MI 48072-1993
(248) 545-0293
Mailing address
1692 LARKMOOR BLVD, BERKLEY, MI 48072-1993
(248) 545-0293
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704276489
MI
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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