MICAELA WEAVER

PROVIDENCE, RI
NPI1992111884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086X0206X Surgery, Surgical Oncology
(Licence: RI  DO00965)
Additional Taxonomies208600000X Surgery
(Licence: RI  DO00965)
2086X0206X Surgery, Surgical Oncology
(Licence: MA  285738)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2014-07-11
Last Update Date2021-06-25
Business Address
Dr. MICAELA WEAVER D.O.
1 BLACKSTONE STREET 2ND FLOOR
PROVIDENCE, RI 02903
Phone number: 401-453-7520
Mailing Address
Dr. MICAELA WEAVER D.O.
1 BLACKSTONE PL
PROVIDENCE, RI 02903-4942
Phone number: 401-453-7540