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NPI Code Detail

MEDICARE: MEGHAN WEBER

MEDICARE: MEGHAN WEBER
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
1122300000XDentistD14405MN

General Provider Information

NPI Number : 1366078917
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGHAN WEBER
Provider Business Mailing Address
First Line : 2442 MOUNDS VIEW BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55112-1478
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2442 MOUNDS VIEW BLVD
Second Line :
City : SAINT PAUL
State : MN
Zip : 55112-1478
Country : US
Telephone Number : 763-316-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2020
Last Update Date : 05/12/2023

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Directions to “ MEGHAN WEBER ” Practice Location

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