Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE NICHOLAS WEBER, MD
ActiveWALLACE NICHOLAS WEBER, MD is a Dermatology healthcare provider located in DORRANCE, Kansas. NPI 1104929553 is currently active in the NPPES registry. Verify at CMS.
Dermatology · DORRANCE, KS
Registration Details
- NPI Number
- 1104929553
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2006 (19.934732655951 yrs)
- Last Updated
- Nov 19, 2009
- Licenses
-
0414492 (KS)0414492 (KS)0414492 (KS)
Practice Information
- Address
-
19748 MICHAELIS ROADDORRANCE, KS, 67634Browse KS providers · Browse ZIP 67634
- Phone
- 7856664341
- Fax
- 7856664341
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Obesity Medicine
- Additional Specialty
- Dermatopathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.