Individual
MR. MITCHELL ROBERT WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
(920) 735-7618
Mailing address
N363 RIDGEWOOD COURT, APPLETON, WI 54915
(920) 851-1900
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
1057703
WI
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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