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NPI Code Detail

MEDICARE: STEFAN WEBB

MEDICARE: STEFAN WEBB
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
1390200000XStudent in an Organized Health Care Education/Training ProgramMI

General Provider Information

NPI Number : 1710819867
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEFAN WEBB
Provider Business Mailing Address
First Line : 303 E KEARSLEY ST RM 3124
Second Line :
City : FLINT
State : MI
Zip : 48502-1907
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 303 E KEARSLEY ST RM 3124
Second Line :
City : FLINT
State : MI
Zip : 48502-1907
Country : US
Telephone Number : 810-762-3147
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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Directions to “ STEFAN WEBB ” Practice Location

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