Gregory L Weaver DDS

NPI 1093713687 - Dentist - 1223G0001X

NPI Details
NPI 1093713687
Gender Male
Enumeration Date 07/08/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2554 WOODMEADOW DR SE
GRAND RAPIDS MI, 49546-8033, US
Phone (616) 942-4010
Fax (616) 942-9929
Business Location
2554 WOODMEADOW DR SE
GRAND RAPIDS MI, 49546-8033, US
Phone (616) 942-4010
Fax (616) 942-9929
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 11723
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According to our database, Dr. Gregory L Weaver DDS NPI is 1093713687, taxonomy code is 1223G0001X and license number is 11723, license state is located at Michigan. Gregory L Weaver DDS physically located at 2554 Woodmeadow Dr Se, Grand Rapids MI, 49546-8033. NPI Number Gregory L Weaver DDS has the Individual type.

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1093713687 NPI number is provided on an as is basis without warranty of any kind. 1093713687 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory L Weaver DDS are for informational purposes only.