Individual
DANIEL W TOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2332 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1955
(616) 391-6220
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101011069
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598712390
GROUP NPI
MI
05
—
4780957
—
MI
05
—
4780966
—
MI
05
—
4780975
—
MI
05
—
4780984
—
MI
01
—
5410116
BCBS PIN #
MI
Enumeration date
05/17/2006
Last updated
07/21/2014
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