Individual
DARBY KATHERINE TOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17800 NEWBURGH RD STE 103, LIVONIA, MI 48152-2794
(734) 464-9540
(734) 464-0438
Mailing address
28624 OAKMONT CT, FARMINGTON HILLS, MI 48331-2995
(248) 755-6520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601009512
MI
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601009512
PHYSICIAN ASSISTANT LICENSE
MI
Enumeration date
09/09/2019
Last updated
07/21/2023
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