Organization
KENNETH E. VOBACH, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH EDMUND VOBACH M.D. (PRESIDENT)
(810) 955-9966
Entity
Organization
Contact information
Practice address
9024 WOODRIDGE DR, DAVISON, MI 48423-8373
(810) 955-9966
Mailing address
9024 WOODRIDGE DR, DAVISON, MI 48423-8373
(810) 955-9966
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301075399
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1004206451
—
MI
Enumeration date
06/01/2009
Last updated
06/01/2009
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