Individual
ANYA NICOLE WEAVER RING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2600 KILEY WAY, PLYMOUTH, WI 53073-5020
(920) 449-7000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 449-7000
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
81298
WI
208000000X
Pediatrics Physician
Primary
81298
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100254217
—
WI
Enumeration date
06/25/2018
Last updated
08/29/2024
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