# THOMAS MEDICAL INDEPENDENT CONTRACTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Thomas Sports and Regenerative Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891544730
- **Authorized official:** IAN S THOMAS MD (OWNER)
- **Authorized official phone:** (616) 204-9679

## Contact information

- **Practice address:** 1250 COLUMBIA AVE E, BATTLE CREEK, MI 49014-5159
- **Practice address phone:** (269) 883-6052
- **Mailing address:** 1692 HAWLEY HWY, BELDING, MI 48809-9518
- **Mailing address phone:** (616) 204-9679

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/14/2024
- **Last updated:** 05/24/2024