Mark E Weaver, DPM

NPI #1295722080 in Fort Myers, Florida

Provider Information

NPI Number: 1295722080
Entity Type: Individual
Name: Mark E Weaver, DPM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Podiatrist
Credential: DPM
Enumeration Date: Oct 5, 2005
Last Updated: Jul 13, 2011

Practice Location

Address: 1645 COLONIAL BLVD
City: Fort Myers
State: Florida
ZIP Code: 33907-1101
Phone: (239) 278-4448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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