Individual
MICHELE B WEIBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1907 W SYCAMORE ST FL 3, KOKOMO, IN 46901-5148
(765) 236-8363
Mailing address
1907 W SYCAMORE ST FL 3, KOKOMO, IN 46901-5148
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01063715A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200865680
—
IN
Enumeration date
05/21/2007
Last updated
05/19/2022
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