MEDICARE: DR. MITCHELL HOWARD FOLBE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	4301059575	MI
2	207RH0003X	Hematology & Oncology Physician	MF059575	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	110F302150	OTHER	BC
2	383355345	OTHER	PPOM
3	900002413	OTHER	PALMETTO GBA
4	C7809	OTHER	MCARE
5	G55167	OTHER	ALLIANCE HEALTH
6	P94244	OTHER	BCN MEDICAL ONE

General Provider Information

NPI Number	:	1255321683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITCHELL HOWARD FOLBE MD

Provider Business Mailing Address
First Line	:	115 E LONG LAKE RD
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-5524
Country	:	US
Telephone Number	:	248-879-2500
Fax Number	:	248-879-2997

Provider Business Practice Location Address
First Line	:	115 E LONG LAKE RD
Second Line	:
City	:	TROY
State	:	MI
Zip	:	48085-5524
Country	:	US
Telephone Number	:	248-879-2500
Fax Number	:	248-879-2997

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	11/27/2023

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Directions to “ DR. MITCHELL HOWARD FOLBE MD” Practice Location

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