Individual
DR. THOMAS K POW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 HOLLYWOOD RD, SUITE 110, SAINT JOSEPH, MI 49085-9159
(269) 985-1000
(269) 983-1627
Mailing address
3950 HOLLYWOOD RD, SUITE 110, SAINT JOSEPH, MI 49085-9159
(269) 985-1000
(269) 983-1627
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
430154928
MI
207RI0011X
Interventional Cardiology Physician
Primary
4301054928
MI
207UN0901X
Nuclear Cardiology Physician
4301054928
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0M95350
MEDICARE GROUP PIN
MI
05
—
3444708
—
MI
Enumeration date
03/24/2006
Last updated
04/22/2019
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