Weaver, David

Weaver, David is an individual health care provider with primary practice located at 7300 N Canton Center Rd Emergency Medicine Department, Canton MI 48187-1579. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Weaver, David can be contacted via phone (734) 454-8002.

Contact Information

Primary practice address
7300 N Canton Center Rd Emergency Medicine Department Canton MI 48187-1579
Phone: (734) 454-8002
Fax: (734) 454-2733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 5101008321 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102202236 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS014356 Pennsylvania
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101008321 Michigan

Profile Details

NPI number 1720067606
LBN Legal business name Weaver, David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Sep 22nd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720067606 NPPES
Michigan MEDICAID 1720067606
Michigan Other 11293324

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