Provider Demographics
NPI:1326498239
Name:WARD, TOBY ALAN (MED)
Entity Type:Individual
Prefix:MR
First Name:TOBY
Middle Name:ALAN
Last Name:WARD
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5667 CASTLETON LN
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-1801
Mailing Address - Country:US
Mailing Address - Phone:269-353-3971
Mailing Address - Fax:
Practice Address - Street 1:5667 CASTLETON LN
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-1801
Practice Address - Country:US
Practice Address - Phone:269-353-3971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other