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Individual

TIMOTHY ROBERT WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
1001 AVENUE B, CLOQUET, MN 55720-1631
(218) 310-8896
(218) 206-6276
Mailing address
609 E 3RD ST, SUPERIOR, WI 54880-3150
(218) 260-3350

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306820
MN
363LF0000X
Family Nurse Practitioner
CNP 4335
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4335
MN

Other

Enumeration date
03/14/2016
Last updated
09/05/2024
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