Provider Demographics
NPI:1013371095
Name:ROBIN L WEBB MD ABMS-INTERNAL MEDICINE PLC
Entity Type:Organization
Organization Name:ROBIN L WEBB MD ABMS-INTERNAL MEDICINE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-274-1355
Mailing Address - Street 1:148 E CHERRY AVE FL 6
Mailing Address - Street 2:
Mailing Address - City:ZEELAND
Mailing Address - State:MI
Mailing Address - Zip Code:49464-1724
Mailing Address - Country:US
Mailing Address - Phone:505-274-1355
Mailing Address - Fax:
Practice Address - Street 1:148 E CHERRY AVE FL 6
Practice Address - Street 2:
Practice Address - City:ZEELAND
Practice Address - State:MI
Practice Address - Zip Code:49464-1724
Practice Address - Country:US
Practice Address - Phone:505-274-1355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-06
Last Update Date:2016-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301062272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty