Individual
MARIA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3075 CHESTNUT RUN DR, BLOOMFIELD HILLS, MI 48302-1110
(248) 253-0774
Mailing address
26901 BEAUMONT BLVD, STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1863
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
4301071922
MI
207ZC0500X
Cytopathology Physician
E-3436
AR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
E-3436
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152922001
—
AR
Enumeration date
10/13/2006
Last updated
01/22/2019
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