Andy Michael Weathers, R.T(R), CV
Radiologic Technologist, Cardiovascular-Interventional Technology in Oregon, WI. Individual provider (NPI-1).
NPI number1972937795
StatusActive
Last updated in NPPESAug 28, 2013
Details
- NPI
- 1972937795
- Entity type
- Individual (NPI-1)
- Name
- Andy Michael Weathers
- Credential
- R.T(R), CV
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2013
- Last updated
- Aug 28, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C1101X | Radiologic Technologist, Cardiovascular-Interventional Technology | 319217 | MN | Yes |
Other names
- Andy Michael Fuller (Former Name)
Practice location
1054 Vinyard DrOregon, WI 53575-3314
Phone 608-250-0550
Mailing address
1054 Vinyard DrOregon, WI 53575-3314
Phone 608-250-0550
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