Individual
BARBARA ALICE WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
N639 SILVER CREEK CASCADE RD, RANDOM LAKE, WI 53075
(920) 994-9999
(920) 994-9998
Mailing address
PO BOX 341, N639 SILVER CREEK CASCADE RD, RANDOM LAKE, WI 53075
(920) 994-9999
(920) 994-9998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39774
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32420000
—
WI
Enumeration date
03/21/2007
Last updated
07/08/2007
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