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Organization
T.K THOMAS MD PC
Active
Organization
T.K THOMAS MD PC
Active
Other names
Thomas K Thomas MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS K THOMAS MD (PHYSICIAN)
(586) 776-3340
Entity
Organization
Contact information
Practice address
22480 KELLY RD, SUITE 2, EASTPOINTE, MI 48021-2623
(586) 776-3340
(586) 778-6460
Mailing address
842 MOORLAND DR, GROSSE POINTE WOODS, MI 48236-1129
(586) 776-3340
(586) 778-6460
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301040256
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1361698
—
MI
01
—
71020001500026
BC BS OF MICHIGAN
MI
Enumeration date
08/18/2005
Last updated
02/26/2008
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