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Individual
THOMAS B FOSTER
Active
Individual
THOMAS B FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086395
MI
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
Primary
4301086395
MI
208000000X
Pediatrics Physician
4301086395
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01EO
JOHN DEERE
IL
05
—
036088888
—
IL
01
—
07215036
BCBS
IL
Enumeration date
02/14/2006
Last updated
09/11/2012
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