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Mitchell Ross Weaver, MD
Vascular Surgery Physician in Detroit, Michigan
NPI 1033191994

Mitchell Ross Weaver is a Vascular Surgery Physician based in Detroit, MI and is specialized in Vascular Surgery. Mitchell Ross Weaver practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Mitchell Ross Weaver is 1033191994 and holds a License No. 35-084264 (Michigan).

The current practice location address for Mitchell Ross Weaver is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 313-916-3156 and via fax at 313-916-3023. You can also correspond with Mitchell Ross Weaver through the mailing address at 2799 W GRAND BLVD, DETROIT, MI - 48202-2608 (mailing address contact number: 313-916-3156).

Location: 2799 W Grand Blvd, Detroit, MI, 48202-2608
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Provider Profile Details
NPI Number
1033191994
Provider Name
Mitchell Ross Weaver
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2799 W Grand Blvd, Detroit, MI, 48202-2608
Phone Number
313-916-3156
Fax Number
313-916-3023
Provider Enumeration Date
11/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2497463 05 OH
7030574 01 AETNA PROVIDER ID#
000000329893 01 OH ANTHEM BC/BS
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-916-3156
Fax Number
313-916-3023
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
State
Zip
48202-2608
Phone Number
313-916-3156
Fax Number
313-916-3023
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
35-084264 (Ohio)
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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