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Leroy D Weaver JR., MD
Diagnostic Ultrasound Physician in Mishawaka, Indiana
NPI 1710950258

Leroy D Weaver JR. is a Diagnostic Ultrasound Physician based in Mishawaka, IN and is specialized in Diagnostic Ultrasound. Leroy D Weaver JR. practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Leroy D Weaver JR. is 1710950258 and holds a License No. 01060476A (Indiana).

The current practice location address for Leroy D Weaver JR. is 620 W Edison Rd, Mishawaka, IN and can be reached out via phone at 574-258-1100 and via fax at 574-258-1101.

Location: 620 W Edison Rd, Mishawaka, IN, 46545-2784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710950258
Provider Name
Leroy D Weaver JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
620 W Edison Rd, Mishawaka, IN, 46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
Provider Enumeration Date
02/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200809390 05 IN
institution
Provider Business Practice Location Address Details
Address
620 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
person
Provider Business Mailing Address Details
Address
620 W Edison Rd
City
Mishawaka
State
Indiana
Zip
46545-2784
Phone Number
574-258-1100
Fax Number
574-258-1101
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
01060476A (Indiana)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
01060476A (Indiana)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
01060476A (Indiana)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
01060476A (Indiana)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 5
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
01060476A (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 6
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
2085R0203X
License No.
01060476A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
01060476A (Indiana)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 8
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
01060476A (Indiana)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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