NPI 1023790862

Michael Murphy Weedman, PAC

Practitioner Physician Assistant Rockford, IL

Practice location

Address: 324 Roxbury Rd, Rockford, IL 61107-5090
Phone: (815) 398-9491
Fax: (815) 381-7498
Mailing address: PO Box 735263, Chicago, IL 60673-5263

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085009963 (IL)

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Registry record

NPI: 1023790862
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Aug 2023
Record last updated: 17 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.