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Individual

WALLACE NICHOLAS WEBER

Active
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Individual

WALLACE NICHOLAS WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0414492
KS
207ND0101X
MOHS-Micrographic Surgery Physician
0414492
KS
207ND0900X
Dermatopathology Physician
0414492
KS

Other

Enumeration date
09/07/2006
Last updated
11/19/2009
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