Individual
DR. MICHAEL FAHERTY FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3100 N WELLNESS DR, HOLLAND, MI 49424-8122
(616) 994-2770
(616) 920-6533
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
5101019136
MI
207Y00000X
Otolaryngology Physician
OP60635271
WA
207YX0901X
Otology & Neurotology Physician
Primary
5101019136
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
5101019136
MI
Other
Enumeration date
05/09/2011
Last updated
12/27/2022
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