Individual
DR. LISA STEKETEE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 774-7870
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301107504
MI
207Y00000X
Otolaryngology Physician
57.016241
OH
Other
Enumeration date
08/18/2009
Last updated
12/01/2025
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