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Individual

LAURENCE C WEBER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6565 W MAIN ST, KALAMAZOO, MI 49009-6114
(269) 375-0400
(269) 372-8484
Mailing address
6565 W MAIN ST, KALAMAZOO, MI 49009-6114
(269) 375-0400
(269) 372-8484

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301039878
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1325815
MI
Enumeration date
03/31/2006
Last updated
07/08/2007
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