# DR. THOMAS C NUSSDORFER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134124662
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 4301046246 | MI | Yes |

## Other

- **Enumeration date:** 06/21/2005
- **Last updated:** 03/07/2023

## 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 |