Individual
JENNIFER J WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
442 W HIGH ST STE 3, BRYAN, OH 43506-1681
(419) 636-4517
(419) 636-6438
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35122333
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101546
—
OH
Enumeration date
05/04/2011
Last updated
10/03/2022
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