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Bruce Tabak, D.p.m.
Prosthetic/Orthotic Supplier in Oxford, Michigan
NPI 1093901795

Bruce Tabak, D.p.m. is a Prosthetic/Orthotic Supplier based in Oxford, MI. Bruce Tabak, D.p.m. practices in Oxford, MI. The NPI Number for Bruce Tabak, D.p.m. is 1093901795 and holds a License No. 5901400128 (Michigan).

The current practice location address for Bruce Tabak, D.p.m. is 129 S Washington St, Oxford, MI and can be reached out via phone at 248-628-1880 and via fax at 248-628-1881.

Location: 129 S Washington St, Oxford, MI, 48371-4981
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093901795
Provider Name
Bruce Tabak, D.p.m.
Credential
Provider Entity Type
Organization
Address
129 S Washington St, Oxford, MI, 48371-4981
Phone Number
248-628-1880
Fax Number
248-628-1881
Provider Enumeration Date
09/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3142556 05 MI
institution
Provider Business Practice Location Address Details
Address
129 S Washington St
City
Oxford
State
Michigan
Zip
48371-4981
Phone Number
248-628-1880
Fax Number
248-628-1881
person
Provider Business Mailing Address Details
Address
129 S Washington St
City
Oxford
State
Michigan
Zip
48371-4981
Phone Number
248-628-1880
Fax Number
248-628-1881
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
5901400128 (Michigan)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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