Individual provider · Type 1 NPI

Joshua Douglas Weaver

Student in an Organized Health Care Education/Training Program · La Crosse, WI

NPI number 1093607871 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Mailing address

3009 North Ct Apt 107
Onalaska, WI 54650-6205

Other practice locations

  • 750 Highland Ave, Madison, WI 53705-2221 · (608) 263-4900

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093607871

Joshua Douglas Weaver's National Provider Identifier is 1093607871, issued on Jul 16, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in La Crosse, WI. The record was last updated on Jul 10, 2026.