Individual
PATRICK MARVIN WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-7167
(574) 647-3671
Mailing address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-7167
(574) 647-3671
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01056419A
IN
207Q00000X
Family Medicine Physician
Primary
01056419A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000294237
BCBS MEMORIAL HOSPITALIST
IN
01
—
000000315370
BCBS LAPORTE
IN
01
—
000000315379
BCBS MEDPOINT MAIN STREET
IN
01
—
000000389171
BMG E BLAIR WARNER
IN
01
—
000000878854
BCBS IRELAND RD
IN
05
—
200389510
—
IN
01
—
P01713005
RR-MEDICARE
IN
Enumeration date
12/09/2005
Last updated
01/24/2019
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