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Individual

DR. MICHAEL DENNIS WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O., M.S.

Contact information

Practice address
EMILE 42ND ST, OMAHA, NE 68198-0001
(402) 559-8600
(402) 559-8940
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
03255
KY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1593
NE
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
03255
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100130950
KY
Enumeration date
02/10/2007
Last updated
02/17/2017
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