Individual
DR. DONALD GREGORY WESTON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3210 EAGLE RUN DR NE, SUITE 100, GRAND RAPIDS, MI 49525-7051
(616) 957-1200
(616) 957-1297
Mailing address
640 44TH ST SW, GRANDVILLE, MI 49418-3303
(616) 457-1064
(616) 957-1297
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301049265
MI
207LA0401X
Addiction Medicine (Anesthesiology) Physician
Primary
4301049265
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3514590
—
MI
Enumeration date
01/11/2006
Last updated
05/31/2013
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