MEDICARE: DR. ANNE ZARB WEBER D.D.S.

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
1	1223G0001X	General Practice Dentistry	4728-015	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	33737600	OTHER	WI	WMAP

General Provider Information

NPI Number	:	1497892111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE ZARB WEBER D.D.S.

Provider Business Mailing Address
First Line	:	2250 W KENBOERN DR
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-1830
Country	:	US
Telephone Number	:	414-247-1278
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 W KENBOERN DR
Second Line	:
City	:	GLENDALE
State	:	WI
Zip	:	53209-1830
Country	:	US
Telephone Number	:	414-247-1278
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	03/24/2009

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