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Individual

DR. MARK A WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1700 W STOUT ST, RICE LAKE, WI 54868-5000
(715) 234-1515
Mailing address
1000 N OAK AVE, WWP, MARSHFIELD, WI 54449-5703
(715) 389-0633
(715) 389-0644

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42203-020
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33338900
WI
Enumeration date
12/02/2005
Last updated
11/17/2022
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