Individual
MR. ROBERT D WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6551 WILSON MILLS RD, SUITE #104, MAYFIELD VILLAGE, OH 44143-3495
(440) 442-3113
(440) 442-5137
Mailing address
6551 WILSON MILLS ROAD, SUITE #104, MAYFIELD VILLAGE, OH 44143-3425
(440) 442-3113
(440) 442-5137
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210901
ANTHEMBCBS
OH
05
—
0257583
—
OH
Enumeration date
01/10/2006
Last updated
12/03/2019
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