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Individual
KEVIN J WEBER
Active
Individual
KEVIN J 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
196960
CA
207X00000X
Orthopaedic Surgery Physician
28989
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000257010
MEDICARE PROVIDER ID NUMBER
WI
01
—
0676320001
MEDICARE DME
WI
01
—
1386626562
PHYSICIANS PLUS
WI
01
—
16008
DEAN HEALTH INSURANCE
WI
05
—
31575100
—
WI
01
—
504547638
TRICARE
WI
01
—
W010562
CHAMPUS
—
Enumeration date
11/15/2005
Last updated
10/18/2024
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