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Organization
THOMAS NEIDLINGER
Active
Organization
THOMAS NEIDLINGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA LEWIS (PRACTICE MANAGER)
(269) 781-1122
Entity
Organization
Contact information
Practice address
215 E MANSION ST STE 2A, MARSHALL, MI 49068-1167
(269) 781-1122
Mailing address
215 E MANSION ST STE 2A, MARSHALL, MI 49068-1167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1633260
—
MI
Enumeration date
02/19/2019
Last updated
03/28/2019
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