# IAN C WEBER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205922655
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 55805 | CO | Yes |
| 207XS0114X | Adult Reconstructive Orthopaedic Surgery Physician | 55805 | CO | — |

## Other

- **Enumeration date:** 10/05/2006
- **Last updated:** 03/17/2018

## 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 |