Individual
THOMAS MARK HABERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4524 N FRITILLARY CT, BEL AIRE, KS 67226-4204
(316) 577-5038
(316) 744-6404
Mailing address
4524 N FRITILLARY CT, BEL AIRE, KS 67226-4204
(316) 577-5038
(316) 744-6404
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
12-00296
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100315210B
—
KS
Enumeration date
11/30/2006
Last updated
07/08/2007
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