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SHAWN MICHAEL WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1764 1ST AVE, APT 4S, NEW YORK, NY 10128-5913
(641) 425-6244
Mailing address
1764 1ST AVE, APT 4S, NEW YORK, NY 10128-5913
(641) 425-6244

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0057058
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/18/2014
Last updated
12/22/2020
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