Individual
DR. SAMUEL DONOVAN KAFFENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, B1 FLOOR CANCER & GERIATRICS CENTER RECP C, ANN ARBOR, MI 48109-5913
(734) 647-8903
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
2738371
NY
208800000X
Urology Physician
Primary
4301110910
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/30/2009
Last updated
09/02/2016
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