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NPI 1306818059

NPI 1306818059 : MARTIN E GARBER D.O. : YPSILANTI, MI

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General NPI Number Information
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    NPI Number           |    1306818059
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    Entity Type          |    Individual 
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    Provider Name        |    MARTIN E GARBER D.O.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/06/2006
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    Last Update Date     |    07/21/2022
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Provider Practice Location Address
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    Address Line         |    3145 CLARK ROAD SUITE 202
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    City                 |    YPSILANTI
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    State                |    MI
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    Zip                  |    48197
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    Country              |    US
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    Telephone            |    734-477-0211
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3621 S STATE ST 700 KMS PLACE
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    City                 |    ANN ARBOR
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    State                |    MI
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    Zip                  |    48108
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    Country              |    US
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    Telephone            |    734-936-2047
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    Fax                  |    734-477-6805
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    5101009627
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    207RR0500X
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    Taxonomy Name        |    Rheumatology Physician
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    License Number       |    5101009627
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    License Number State |    MI
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