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Individual

DR. MICHAEL J WEBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
555 W SCHROCK RD STE B, WESTERVILLE, OH 43081-8717
(614) 891-0350
(614) 891-0351
Mailing address
555 W. SCHROCK RD., WESTERVILLE, OH 43081-8717
(614) 891-0350
(614) 891-0351

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3384
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
580002920
MEDICARE RR PIN
OH
01
875000001
DMERC
OH
Enumeration date
07/20/2006
Last updated
01/11/2013
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