Provider Demographics
NPI:1710966486
Name:FOSTER, CATHERINE L (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:L
Last Name:FOSTER
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2215 FULLER RD 11A
Mailing Address - Street 2:VA ANN ARBOR HEALTHCARE SYSTEM
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-845-3515
Mailing Address - Fax:734-845-3835
Practice Address - Street 1:2215 FULLER RD 11A
Practice Address - Street 2:VA ANN ARBOR HEALTHCARE SYSTEM
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105
Practice Address - Country:US
Practice Address - Phone:734-845-3515
Practice Address - Fax:734-845-3835
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2015-07-23
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Provider Licenses
StateLicense IDTaxonomies
MI4301067917207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G94625Medicare UPIN