Individual
DR. THOMAS POWELL WALDINGER
Active
Individual
DR. THOMAS POWELL WALDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301043778
MI
207NS0135X
Procedural Dermatology Physician
4301043778
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P12450
MEDICARE GROUP
MI
Enumeration date
06/24/2005
Last updated
10/30/2018
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