Individual
MR. CURTIS RANDALL WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 LAFAYETTE AVE SE, SUITE 400, GRAND RAPIDS, MI 49503
(616) 752-6525
(616) 752-6556
Mailing address
310 LAFAYETTE AVE S.E, SUITE 400, GRAND RAPIDS, MI 49503
(616) 752-6525
(616) 752-6556
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301102395
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2007
Last updated
03/04/2014
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