Individual
DR. MARK D WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 SUNNYVIEW LN, KALISPELL, MT 59901-3120
(406) 758-7035
(406) 752-5210
Mailing address
205 SUNNYVIEW LANE, KALISPELL, MT 59901
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11832
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
250011840
R/R MEDICARE PROVIDER #
MD
05
—
671700400
—
MD
01
—
CA8374
R/R MEDICARE GROUP #
MD
Enumeration date
06/14/2006
Last updated
11/27/2023
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