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NPI Code Detail

MEDICARE: DR. LINDA JO WEBERMAN DDS

MEDICARE: DR. LINDA JO WEBERMAN DDS
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
1122300000XDentist13022MI

General Provider Information

NPI Number : 1215152939
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDA JO WEBERMAN DDS
Provider Business Mailing Address
First Line : 2700 MARTIN LUTHER KING JR BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48208-2576
Country : US
Telephone Number : 313-494-6855
Fax Number : 313-494-6709
Provider Business Practice Location Address
First Line : 2700 MARTIN LUTHER KING JR BLVD
Second Line :
City : DETROIT
State : MI
Zip : 48208-2576
Country : US
Telephone Number : 313-494-6855
Fax Number : 313-494-6709
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 12/30/2013

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Directions to “ DR. LINDA JO WEBERMAN DDS” Practice Location

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