Individual
MARIANNE T WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-0535
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
665
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42948600
—
WI
Enumeration date
04/13/2007
Last updated
08/26/2025
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