Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. David Louis Weatherly, MD

Individual provider Surgery Physician · NPI 1558672998

Dr. David Louis Weatherly, MD is an Urology in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2010, 16 years ago. Practices with Michigan Institute of Urology PC, a 83-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

25 Michigan St NE Ste 3300
Grand Rapids, MI 49503-2558
Phone: (616) 459-4171
Fax: (616) 459-0044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301096915 (MI)
Surgery Physician Taxonomy 208600000X · Licence 4301096915 (MI)
Pediatric Urology Physician Taxonomy 2088P0231X · Licence 4301096915 (MI)

Record details

NPI number1558672998
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2010
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Michigan Institute Of Urology Pc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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