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Individual
IAN C WEBER
Active
Individual
IAN C WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
55805
CO
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
55805
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0902607
MEDICA
—
05
—
14073
—
ND
01
—
182H4WE
MN BCBS
MN
01
—
27952
ND BCBS
ND
05
—
936485400
—
MN
Enumeration date
10/05/2006
Last updated
03/17/2018
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