Weber, Marc
Weber, Marc is an individual health care provider with primary practice located at 6200 Shingle Creek Pkwy Suite 260, Brooklyn Center MN 55430-2128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nephrology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Weber, Marc can be contacted via phone (763) 561-5349.Contact Information
Primary practice address
6200 Shingle Creek Pkwy Suite 260
Brooklyn Center MN 55430-2128
Phone: (763) 561-5349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 44622 | Minnesota |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 44622 | Minnesota |
Profile Details
| NPI number | 1205940798 |
|---|---|
| LBN Legal business name | Weber, Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Jan 15th, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205940798 | NPPES |
| Other | 31-00005 | MEDICA - PRIMARY | |
| MEDICAID | 0140556 | MEDICA - PRIMARY | |
| Other | 132810 | MEDICA - PRIMARY | |
| MEDICAID | 832118300 | MEDICA - PRIMARY | |
| Other | 608T6WE | MEDICA - PRIMARY | |
| Other | 2319563 | MEDICA - PRIMARY | |
| Other | 31-00235 | MEDICA - PRIMARY | |
| Other | 1043235 | MEDICA - PRIMARY | |
| MEDICAID | 34632700 | MEDICA - PRIMARY | |
| MEDICAID | 0596031 | MEDICA - PRIMARY | |
| Other | HP49892 | MEDICA - PRIMARY |
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