Individual
ERICA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
424 W HIGHWAY 5, WACONIA, MN 55387-1795
(952) 442-4461
Mailing address
2716 180TH ST E, PRIOR LAKE, MN 55372-2823
(507) 226-1450
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12111
MN
Other
Enumeration date
03/01/2016
Last updated
12/06/2022
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