WALLACE NICHOLAS WEBER

DORRANCE, KS
NPI1104929553
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: KS  0414492)
Additional Taxonomies207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: KS  0414492)
207ND0900X Dermatology, Dermatopathology
(Licence: KS  0414492)
Enumeration Date2006-09-07
Last Update Date2009-11-19
Business Address
-- WALLACE NICHOLAS WEBER MD
19748 MICHAELIS ROAD
DORRANCE, KS 67634
Phone number: 785-666-4341
Mailing Address
-- WALLACE NICHOLAS WEBER MD
19748 MICHAELIS ROAD
DORRANCE, KS 67634
Phone number: 785-666-4341