Individual
HEATHER JANE THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3646 PHEASANT RUN, BLOOMFIELD HILLS, MI 48302-1245
(248) 826-3831
Mailing address
3646 PHEASANT RUN, BLOOMFIELD HILLS, MI 48302-1245
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704302492
MI
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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