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Individual
MICHAEL CONRAD WEBER
Active
Individual
MICHAEL CONRAD WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101020900
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VADOOO
—
MI
Enumeration date
03/03/2014
Last updated
06/27/2018
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