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Organization

SHARON R WEAVER MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHARON R WEAVER M.D. (PHYSICIAN/OWNER)
(309) 451-9595
Entity
Organization

Contact information

Practice address
1302 FRANKLIN AVE, SUITE 3400, NORMAL, IL 61761-3551
(309) 451-9595
(309) 451-9583
Mailing address
1302 FRANKLIN AVE, SUITE 3400, NORMAL, IL 61761-3551
(309) 451-9595
(309) 451-9583

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
IL

Other

Enumeration date
09/01/2006
Last updated
10/11/2007
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