IndividualActive
Michael Weber, PHYSICIAN ASSISTANT
NPI 1902990963 · Surgical Physician Assistant · Fairbanks, AK
Provider details
- NPI number
- 1902990963
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Male
- Sole proprietor
- No
- License
- 171 (AK)
Practice location
1919 Lathrop St
Suite 209
Fairbanks, AK 99701
Phone: (907) 452-4446
Fax: (907) 451-9480
Mailing address
1919 Lathrop St
Fairbanks, AK 99701
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.