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Individual
DR. THOMAS MARK PROSE
Active
Individual
DR. THOMAS MARK PROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
052622
GA
207R00000X
Internal Medicine Physician
2003003395
MO
207R00000X
Internal Medicine Physician
35-07-2106-P
OH
207R00000X
Internal Medicine Physician
Primary
4301046178
MI
207R00000X
Internal Medicine Physician
M-9253
ID
207R00000X
Internal Medicine Physician
ME 91109
FL
207R00000X
Internal Medicine Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1960245
—
MI
05
—
2008473
—
OH
Enumeration date
08/20/2006
Last updated
07/08/2007
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