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NPI Code Detail

MEDICARE: JENNIFER L WEBB MD

MEDICARE: JENNIFER L WEBB MD
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
12085R0001XRadiation Oncology Physician4301405001MI

General Provider Information

NPI Number : 1396782884
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L WEBB MD
Provider Business Mailing Address
First Line : 3621 SOUTH STATE STREET
Second Line : 700 KMS PLACE
City : ANN ARBOR
State : MI
Zip : 48108
Country : US
Telephone Number : 734-936-2047
Fax Number :
Provider Business Practice Location Address
First Line : 401 WEST GREEN LAWN AVE
Second Line :
City : LANSING
State : MI
Zip : 48910-2819
Country : US
Telephone Number : 517-975-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 11/27/2023

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