Individual
ANNICK OLGA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
20 ARCHBISHOP MAY DR, SAINT LOUIS, MO 63119-5738
(314) 792-7251
(314) 792-7259
Mailing address
20 ARCHBISHOP MAY DR, SAINT LOUIS, MO 63119-5738
(314) 792-7251
(314) 792-7259
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2014020897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060014866
RAILROAD MEDICARE
MI
01
—
0984250
HEALTHPLUS
MI
01
—
1006834
MCLAREN HEALTH PLAN
MI
05
—
1902858251
—
MI
01
—
700B960280
BCBS
MI
01
—
M020860
CHAMPVA
—
Enumeration date
05/16/2006
Last updated
06/01/2016
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