Dr Seymour Marcus Weaver Iii, MD | |
3111 Gundersen Dr, Onalaska, WI 54650-8447 | |
(608) 775-8100 | |
Not Available |
Full Name | Dr Seymour Marcus Weaver Iii |
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Gender | Male |
Speciality | Dermatology |
Location | 3111 Gundersen Dr, Onalaska, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225126956 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | C38690 (California) | Secondary |
207N00000X | Dermatology | F0346 (Texas) | Secondary |
207N00000X | Dermatology | 77612 (Wisconsin) | Primary |
Entity Name | Csi Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 |
Mailing Address | Practice Location Address |
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Dr Seymour Marcus Weaver Iii, MD 3111 Gundersen Dr, Onalaska, WI 54650-8447 Ph: (608) 775-8100 | Dr Seymour Marcus Weaver Iii, MD 3111 Gundersen Dr, Onalaska, WI 54650-8447 Ph: (608) 775-8100 |
Dr. April Lee Farrell, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 | |
Abigail L Taub, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-8100 | |
John Kohorst, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-785-0940 | |
Dr. Rebecca Danhof, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Rd, Onalaska, WI 54650 Phone: 608-392-5000 | |
Dr. Hans E. Von Weiss, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 191 Theater Road, Onalaska, WI 54650 Phone: 608-392-5000 | |
Dr. Stephen B Webster, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3111 Gundersen Dr, Onalaska, WI 54650 Phone: 608-775-2625 |