Individual
MARTIN JACOB WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26750 PROVIDENCE PKWY STE 200, NOVI, MI 48374-1212
(866) 974-2673
(866) 939-2673
Mailing address
26750 PROVIDENCE PKWY STE 200, NOVI, MI 48374-1212
(866) 974-2673
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4351049324
MI
Other
Enumeration date
03/30/2022
Last updated
04/28/2022
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