Organization
ANDREW THOMAS, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW NMN THOMAS M.D. (PRESIDENT)
(313) 680-0619
Entity
Organization
Contact information
Practice address
4727 SAINT ANTOINE ST, SUITE 211, DETROIT, MI 48201-1461
(313) 833-5032
(313) 833-7851
Mailing address
5576 WOODHALL ST, DETROIT, MI 48224-2135
(313) 833-5032
(313) 833-7851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301051568
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4742428
—
MI
05
—
OP24430
—
MI
Enumeration date
02/21/2007
Last updated
08/10/2007
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