Provider Demographics
NPI:1083175178
Name:WEVER, REBEKAH SUE (MD)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:SUE
Last Name:WEVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:SUE
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1230 CLARK ST APT B
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-9807
Mailing Address - Country:US
Mailing Address - Phone:740-432-5685
Mailing Address - Fax:
Practice Address - Street 1:1230 CLARK ST APT B
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9807
Practice Address - Country:US
Practice Address - Phone:740-432-5685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.151286208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery