| R Wyatt Weaver Jr,m.d. | |
|
306 E Maumee St Ste 8 Angola IN 46703-2038 | |
| (260) 665-1337 | |
| Not Available |
| Full Name | R Wyatt Weaver Jr,m.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 306 E Maumee St, Angola, Indiana |
| Authorized Official Name and Position | R Wyatt Weaver (OWNER) |
| Authorized Official Contact | 2606651337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R Wyatt Weaver Jr,m.d. 306 E Maumee St Ste 8 Angola IN 46703-2038 Ph: (260) 665-1337 | R Wyatt Weaver Jr,m.d. 306 E Maumee St Ste 8 Angola IN 46703-2038 Ph: (260) 665-1337 |
| NPI Number | 1831381813 |
|---|---|
| Provider Enumeration Date | 08/14/2007 |
| Last Update Date | 08/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831381813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01023520A (Indiana) | Primary |
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