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Individual

JILL M THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
580 W COLLEGE AVE, HOSPITALIST OFFICE, MARQUETTE, MI 49855-2705
(906) 225-7433
Mailing address
49 SMITH LN, MARQUETTE, MI 49855-9352
(906) 361-5210

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704222283
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104854881
MI
01
5008706020
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
05/16/2006
Last updated
06/15/2009
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