Provider Demographics
NPI:1679917074
Name:TOBES, HAROLD JOSEPH (DO)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:JOSEPH
Last Name:TOBES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 NAKOMIS TRL
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48362-1340
Mailing Address - Country:US
Mailing Address - Phone:248-814-7477
Mailing Address - Fax:
Practice Address - Street 1:1205 NAKOMIS TRL
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48362-1340
Practice Address - Country:US
Practice Address - Phone:248-814-7477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101005038207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology