# THOMAS B FOSTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033183371
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301086395 | MI | — |
| 207RA0000X | Adolescent Medicine (Internal Medicine) Physician | 4301086395 | MI | Yes |
| 208000000X | Pediatrics Physician | 4301086395 | MI | — |

## Other

- **Enumeration date:** 02/14/2006
- **Last updated:** 09/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01EO | JOHN DEERE | IL |
| 05 | — | 036088888 | — | IL |
| 01 | — | 07215036 | BCBS | IL |