NPI 1104929553

Wallace Nicholas Weber, MD

Practitioner Dermatology Physician Dorrance, KS

Practice location

Address: 19748 Michaelis Road, Dorrance, KS 67634
Phone: (785) 666-4341
Fax: (785) 666-4341

Registered specialties (3)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 0414492 (KS)

Other Dermatology providers in Kansas →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 0414492 (KS)

Dermatopathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0900X Licence 0414492 (KS)

Registry record

NPI: 1104929553
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Sep 2006
Record last updated: 19 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.