Individual
DR. MICHAEL THOMAS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3715 PRYTANIA ST, STE 400, NEW ORLEANS, LA 70115-3761
(504) 897-8276
(504) 897-8336
Mailing address
3600 PRYTANIA ST, STE 35, NEW ORLEANS, LA 70115-3628
(504) 897-8315
(504) 891-9893
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
019166
LA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD.019166
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07559821
—
MS
05
—
1374474
—
LA
Enumeration date
10/03/2006
Last updated
06/18/2012
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