Individual
BARRY WILLBRANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12057 DELMAR PLAZA, GULFPORT, MS 39503
(228) 897-5185
(228) 897-5184
Mailing address
12057 DELMAR PLAZA, GULFPORT, MS 39503-4308
(228) 867-5185
(228) 867-5184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18038
MS
208000000X
Pediatrics Physician
Primary
18038
MS
Other
Enumeration date
08/30/2005
Last updated
09/05/2018
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