OrganizationActive
Bruce Tabak, D.P.M.
NPI 1093901795 · Prosthetic/Orthotic Supplier · Oxford, MI
Provider details
- NPI number
- 1093901795
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bruce Tabak, Owner(248) 628-1880
- License
- 5901400128 (MI)
Specialties & taxonomies
Suppliers
Practice location
129 S Washington St
Oxford, MI 48371-4981
Phone: (248) 628-1880
Fax: (248) 628-1881
Approximate (ZIP-level) locationGet directions
Mailing address
129 S Washington St
Oxford, MI 48371-4981
Registry dates
- Enumerated
- 2007-09-18
- Last updated
- 2012-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.