Healthcare Provider Details

I. General information

NPI: 1932785581
Provider Name (Legal Business Name): MICHAEL WEBBER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 PURPLE HEART DRIVE
DOVER AFB DE
19902
US

IV. Provider business mailing address

115 PURPLE HEART DRIVE
DOVER AFB DE
19902
US

V. Phone/Fax

Practice location:
  • Phone: 302-346-8648
  • Fax: 302-346-8637
Mailing address:
  • Phone: 302-346-8648
  • Fax: 302-346-8637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License NumberDO-4056
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: