Individual
KEVIN J WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 N DEWEY AVE, REEDSBURG, WI 53959-1049
(608) 768-3900
(608) 524-1947
Mailing address
2000 N DEWEY AVE, REEDSBURG, WI 53959-1049
(608) 768-3900
(608) 524-1947
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
196960
CA
207X00000X
Orthopaedic Surgery Physician
28989
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000257010
MEDICARE PROVIDER ID NUMBER
WI
01
—
0676320001
MEDICARE DME
WI
01
—
1386626562
PHYSICIANS PLUS
WI
01
—
16008
DEAN HEALTH INSURANCE
WI
05
—
31575100
—
WI
01
—
504547638
TRICARE
WI
01
—
W010562
CHAMPUS
—
Enumeration date
11/15/2005
Last updated
10/18/2024
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