Mitchell Ross Weaver in Detroit - Vascular Surgery
Mitchell Ross Weaver - NPI 1033191994
Mitchell Ross Weaver is a Vascular Surgery in Detroit, Michigan. Mitchell Ross Weaver practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mitchell Ross Weaver is 1033191994. The last update date is 2021-03-01.
Mitchell Ross Weaver's current location address is 2799 W Grand Blvd, Detroit, Michigan. You can contact this provider via phone number 3139163156 and fax number 3139163023. The mailing address for Mitchell Ross Weaver is 2799 W Grand Blvd, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchell Ross Weaver |
|---|---|
| Address | 2799 W Grand Blvd, Detroit, Michigan |
| Phone Number | 3139163156 |
| Fax Number | 3139163023 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1033191994 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2021-03-01 |
Provider Mailing Address Detail
| Address | 2799 W Grand Blvd |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482022608 |
| Phone Number | 3139163156 |
| Fax Number | 3139163023 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 35-084264 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2497463 | OH | -- | |
| 7030574 | AETNA PROVIDER ID# | ||
| 329893 | OH | ANTHEM BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mitchell Ross Weaver by the Centers for Medicare & Medicaid Services?
The Mitchell Ross Weaver has been assigned the NPI (National Provider Identifier) 1033191994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Mitchell Ross Weaver is geographically located?
The Mitchell Ross Weaver is physically situated at the following location: 2799 W Grand Blvd, Detroit, MI, 482022608.
What is Mitchell Ross Weaver's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mitchell Ross Weaver's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
On what date did the Mitchell Ross Weaver receive its 1033191994 assignment from the Centers for Medicare & Medicaid Services?
The Mitchell Ross Weaver was assigned its 1033191994 by the Centers for Medicare & Medicaid Services on 2005-11-16.
When was the information regarding Mitchell Ross Weaver, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mitchell Ross Weaver, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-03-01.
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