MEDICARE: DAVID L FARBER MD PC

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	207Y00000X	Otolaryngology Physician	DF072847	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679752455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID L FARBER MD PC

Provider Business Mailing Address
First Line	:	1003 MULHOLLAND ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7646
Country	:	US
Telephone Number	:	989-894-2823
Fax Number	:	989-894-4969

Provider Business Practice Location Address
First Line	:	1003 MULHOLLAND ST
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48708-7646
Country	:	US
Telephone Number	:	989-894-2823
Fax Number	:	989-894-4969

Authorized Official
Title or Position	:	PRESIDENT OF THE COMPANY
Name	:	DR. DAVID L FARBER
Credential	:	MD
Telephone Number	:	989-894-2823

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	07/24/2018

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