Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD.17380 | AL |
N | 207ND0101X | MOHS-Micrographic Surgeon | MD.17380 | AL |
NPI | 1336118199 |
---|---|
Provider Name | Dr. Joseph Michael Webb |
First Address | Manitowoc, WI 54220-4630 |
Second Address | Florence, AL 35630-1067 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 24/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F62106 | (02) | AL |