Individual
DR. ANN E WEAVER
Active
Individual
DR. ANN E WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101008154
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050054286
RAILROAD MEDICARE
MI
05
—
113318210
—
MI
01
—
5410055
BCBS PIN
MI
01
—
AW008154
BCBS LICENSE
MI
Enumeration date
04/11/2006
Last updated
07/03/2014
Update your record
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