Individual
MR. THOMAS MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2025 FORD AVE STE 100, WYANDOTTE, MI 48192-2301
(734) 281-3080
Mailing address
1620 GOLDEN LN, YPSILANTI, MI 48198-3657
(734) 482-8238
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704264062
MI
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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