-- WALLACE NICHOLAS WEBER -- MD
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1104929553- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 19748 MICHAELIS ROAD, DORRANCE, KS, 67634
- Phone
- (785) 666-4341
- Fax
- (785) 666-4341
Specialties & Taxonomies
Dermatology
Primary License: KS #0414492
Dermatology, MOHS-Micrographic Surgery
License: KS #0414492
Dermatology, Dermatopathology
License: KS #0414492