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Individual
DR. THOMAS C NUSSDORFER
Active
Individual
DR. THOMAS C NUSSDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301046246
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008993
CAP HEALTH
MI
01
—
080189368
RAILROAD MEDICARE
MI
01
—
0B81066
BLUE CARE NETWORK
MI
01
—
1134124662
THOMAS NUSSDORFER MD
MI
05
—
1134124662
—
MI
01
—
121591
UNITED HEALTH
MI
01
—
132959
CARE CHOICES
MI
01
—
1851344964
CORP NPI
MI
01
—
349386200
US POSTAL
MI
01
—
383530686
PPOM
MI
01
—
383530686052
COMMUNITY CHOICE
MI
05
—
4391565
—
MI
01
—
700B810660
BLUE CARE NETWORK
MI
01
—
A75289
PRIORITY HEALTH
MI
Enumeration date
06/21/2005
Last updated
03/07/2023
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