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NPI Code Detail

MEDICARE: CORBIN WEAVER MD

MEDICARE: CORBIN WEAVER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician79491MN
2207V00000XObstetrics & Gynecology PhysicianMD-50100IA
3207V00000XObstetrics & Gynecology PhysicianBP10063956TX

General Provider Information

NPI Number : 1841797636
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORBIN WEAVER MD
Provider Business Mailing Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-262-9000
Fax Number :
Provider Business Practice Location Address
First Line : 2925 CHICAGO AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1321
Country : US
Telephone Number : 612-863-4000
Fax Number : 612-863-3809
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2018
Last Update Date : 06/30/2026

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Directions to “ CORBIN WEAVER MD” Practice Location

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