Individual
DR. MITCHELL S. FARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 COOPER AVE, SUITE B, SAGINAW, MI 48602-5383
(989) 583-4337
Mailing address
822 DREW DR, TROY, MI 48098-1874
(810) 287-1230
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
4301070155
MI
2086S0127X
Trauma Surgery Physician
2017025867
MO
2086S0127X
Trauma Surgery Physician
4301070155
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020G312370
BLUE CROSS BLUE SHIELD
MI
05
—
1578594487
—
VA
05
—
4990168
—
MI
Enumeration date
07/06/2006
Last updated
10/03/2024
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