Individual
MATTHEW WEIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(800) 532-2411
Mailing address
PO BOX 840003, DALLAS, TX 75284-0003
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO217872
OR
207P00000X
Emergency Medicine Physician
O-1904
ID
207P00000X
Emergency Medicine Physician
Q3828
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2010
Last updated
02/26/2024
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