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NPI Code Detail

MEDICARE: MR. ARTHUR L WEBSTER CAC-M

MEDICARE: MR. ARTHUR L WEBSTER CAC-M
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6303086064MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11205854916OTHERMIDETROIT EAST NPI NUMBER

General Provider Information

NPI Number : 1033349949
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARTHUR L WEBSTER CAC-M
Provider Business Mailing Address
First Line : 6309 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48207-2302
Country : US
Telephone Number : 313-921-4700
Fax Number : 313-921-2118
Provider Business Practice Location Address
First Line : 6309 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48207-2302
Country : US
Telephone Number : 313-921-4700
Fax Number : 313-921-2118
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2009
Last Update Date : 07/27/2009

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Directions to “ MR. ARTHUR L WEBSTER CAC-M” Practice Location

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