NPI 1033191994

Mitchell Ross Weaver, MD

Practitioner Vascular Surgery Physician Detroit, MI

Practice location

Address: 2799 W Grand Blvd, Detroit, MI 48202-2608
Phone: (313) 916-3156
Fax: (313) 916-3023

Registered specialties (2)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 4301069776 (MI)

Other Surgery providers in Michigan →

Vascular Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 35-084264 (OH)

Registry record

NPI: 1033191994
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2005
Record last updated: 1 Mar 2021

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.