Provider Demographics
NPI:1801034400
Name:RABENS, DAVID HOWARD (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HOWARD
Last Name:RABENS
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 1:6678 ALDERLEY WAY
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3857
Mailing Address - Country:US
Mailing Address - Phone:248-855-1239
Mailing Address - Fax:
Practice Address - Street 1:6678 ALDERLEY WAY
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-3857
Practice Address - Country:US
Practice Address - Phone:248-855-1239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101008403208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery