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NPI Code Detail

MEDICARE: DR. MARK A WEBER M.D.

MEDICARE:  DR. MARK A WEBER  M.D.
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
1207L00000XAnesthesiology Physician42203-020WI

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 : 1134103146
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK A WEBER M.D.
Provider Business Mailing Address
First Line : 1000 N OAK AVE
Second Line : WWP
City : MARSHFIELD
State : WI
Zip : 54449-5703
Country : US
Telephone Number : 715-389-0633
Fax Number : 715-389-0644
Provider Business Practice Location Address
First Line : 1700 W STOUT ST
Second Line :
City : RICE LAKE
State : WI
Zip : 54868-5000
Country : US
Telephone Number : 715-234-1515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 11/17/2022

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Directions to “ DR. MARK A WEBER M.D.” Practice Location

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