Individual
DR. STANLEY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2600 GREENBUSH ST, LAFAYETTE, IN 47904-2477
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
(765) 448-8335
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01060157A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000559166
ANTHEM PROVIDER NUMBER
IN
05
—
200808360
—
IN
Enumeration date
06/24/2006
Last updated
05/27/2008
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