LEROY D WEAVER

MISHAWAKA, IN
NPI1710950258
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IN  01060476A)
Additional Taxonomies2085B0100X Radiology, Body Imaging
(Licence: IN  01060476A)
2085N0700X Radiology, Neuroradiology
(Licence: IN  01060476A)
2085N0904X Radiology, Nuclear Radiology
(Licence: IN  01060476A)
2085P0229X Radiology, Pediatric Radiology
(Licence: IN  01060476A)
2085R0203X Radiology, Therapeutic Radiology
(Licence: IN  01060476A)
2085R0204X Radiology, Vascular & Interventional Radiology
(Licence: IN  01060476A)
2085U0001X Radiology, Diagnostic Ultrasound
(Licence: IN  01060476A)
Enumeration Date2006-02-07
Last Update Date2013-05-16
Business Address
-- LEROY D WEAVER MD
620 W EDISON RD STE 110
MISHAWAKA, IN 46545-2784
Phone number: 574-258-1100
Mailing Address
-- LEROY D WEAVER MD
620 W EDISON RD STE 110
MISHAWAKA, IN 46545-2784
Phone number: 574-258-1100