Doctor Name: | THOMAS FOLEY KABISCH |
NPI Number: | 1295800498 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 5101012147 |
Business Practice Address: | 2330 E Stadium Blvd Ste 2 Ann Arbor, MI - 481044820 |
Business Phone Number: | 7349715483 |
Business Fax Number: | |
Mailing Address: | 2330 E Stadium Blvd Ste 2, ANN ARBOR |
State: | MI |
Postal Code: | 481044820 |
Phone Number: | 7349715483 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 5101012147 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |