Provider Demographics
NPI:1720584881
Name:WEBER, ERICA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:ERICA
Middle Name:MICHELLE
Last Name:WEBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERICA
Other - Middle Name:WEBER
Other - Last Name:RYMARCZYK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:11807 ALLISONVILLE RD STE 613
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2313
Mailing Address - Country:US
Mailing Address - Phone:317-426-6831
Mailing Address - Fax:
Practice Address - Street 1:2596 N GIRLS SCHOOL RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-2105
Practice Address - Country:US
Practice Address - Phone:317-244-3387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01087774B2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry