Individual
BENJAMIN MICHAEL WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1203 AVENUE B, STE 300, ELLISVILLE, MS 39437-2080
(601) 477-2226
(601) 477-2236
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6167
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12552
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110736
—
MS
Enumeration date
02/14/2006
Last updated
02/11/2014
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