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NPI Code Detail

MEDICARE: PHILIP J WEBER MD

MEDICARE:   PHILIP J WEBER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician33373MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780656793
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILIP J WEBER MD
Provider Business Mailing Address
First Line : 8170 33RD AVE S
Second Line : MS21110Q
City : MINNEAPOLIS
State : MN
Zip : 55425-4516
Country : US
Telephone Number : 952-883-5375
Fax Number : 651-552-2614
Provider Business Practice Location Address
First Line : 5625 CENEX DR - MAIL STOP 33100A
Second Line : HEALTH PARTNERS INVER GROVE HEIGHTS CLINIC
City : INVER GROVE HEIGHTS
State : MN
Zip : 55077-1735
Country : US
Telephone Number : 651-552-2600
Fax Number : 651-552-2614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 12/01/2011

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Directions to “ PHILIP J WEBER MD” Practice Location

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