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Organization
KENDALL P. TABOR, D.P.M
Active
Organization
KENDALL P. TABOR, D.P.M
Active
Other names
SUPERIOR PODIATRY ASSOCIATES, P.L.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENDALL P TABOR D.P.M. (OWNER/PODIATRIST)
(906) 225-7709
Entity
Organization
Contact information
Practice address
1414 W FAIR AVE, STE 215, MARQUETTE, MI 49855-2675
(906) 225-7709
(906) 225-7707
Mailing address
1414 W FAIR AVE, STE 215, MARQUETTE, MI 49855-2675
(906) 225-7709
(906) 225-7707
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001089
MI
332B00000X
Durable Medical Equipment & Medical Supplies
5901001089
MI
Other
Enumeration date
01/10/2008
Last updated
12/20/2011
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