Individual
BRADLEY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11725 ILLINOIS ST STE 350, CARMEL, IN 46032-3009
(317) 688-5200
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01044692
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200101900
—
IN
Enumeration date
06/16/2006
Last updated
11/24/2020
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