Individual
DR. PAUL THOMAS ALBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3535 PARK ST, SUITE 101, NORTON SHORES, MI 49444-3736
(231) 739-2121
(231) 739-4130
Mailing address
16628 NORTHWOOD TRL, SPRING LAKE, MI 49456-2719
(248) 496-3537
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301080049
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA080049
—
MI
Enumeration date
02/11/2008
Last updated
02/21/2013
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