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Individual

DR. FRED LAWRENCE WEBBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
20 5TH ST SE, COOK, MN 55723-9702
(218) 666-5941
Mailing address
PO BOX 275, CRYSTAL BEACH, FL 34681-0275
(727) 742-2423

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19448
WI
207Q00000X
Family Medicine Physician
Primary
22801
MN
207Q00000X
Family Medicine Physician
OS3587
FL

Other

Enumeration date
07/13/2006
Last updated
07/09/2007
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