Weber, Marc

Weber, Marc is an individual health care provider with primary practice located at 6200 Shingle Creek Pkwy Suite 260, Brooklyn Center MN 55430-2128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Weber, Marc can be contacted via phone (763) 561-5349.

Contact Information

Primary practice address
6200 Shingle Creek Pkwy Suite 260 Brooklyn Center MN 55430-2128
Phone: (763) 561-5349
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44622 Minnesota
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 44622 Minnesota

Profile Details

NPI number 1205940798
LBN Legal business name Weber, Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 8th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205940798 NPPES
Other 31-00005 MEDICA - PRIMARY
MEDICAID 0140556 MEDICA - PRIMARY
Other 132810 MEDICA - PRIMARY
MEDICAID 832118300 MEDICA - PRIMARY
Other 608T6WE MEDICA - PRIMARY
Other 2319563 MEDICA - PRIMARY
Other 31-00235 MEDICA - PRIMARY
Other 1043235 MEDICA - PRIMARY
MEDICAID 34632700 MEDICA - PRIMARY
MEDICAID 0596031 MEDICA - PRIMARY
Other HP49892 MEDICA - PRIMARY

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