Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | A114598 | CA |
NPI | 1164654257 |
---|---|
Provider Name | Dr. Erin Weber |
First Address | Indianapolis, IN 46202 |
Second Address | Indianapolis, IN 46202-1253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2009 |
Last Update Date | 04/02/2021 |