Charles Wade Weaver, ATC, AT, LAT
NPI #1316453384 in Middleville, Michigan
Provider Information
- NPI Number
- 1316453384
- Entity Type
- Individual
- Name
- Charles Wade Weaver, ATC, AT, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, AT, LAT
- Enumeration Date
- Dec 28, 2017
- Last Updated
- Dec 28, 2017
Practice Location
- Address
- 11399 DAVIS RD
- City
- Middleville
- State
- Michigan
- ZIP Code
- 49333-8652
- Phone
- (936) 443-6289
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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