Individual
ERWIN JOHN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 395-8166
Mailing address
8280 YANKEE ST, CENTERVILLE, OH 45458-1806
(937) 436-4658
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35.042696
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330873
ANTHEM
OH
05
—
0373644
—
OH
Enumeration date
04/14/2006
Last updated
06/03/2015
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