Individual
MR. THOMAS CHARLES CATRETT III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 BOURNEMOUTH RD, GROSSE POINTE WOODS, MI 48236-1989
(313) 492-8666
Mailing address
1605 BOURNEMOUTH RD, GROSSE POINTE WOODS, MI 48236-1989
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601006159
MI
363AM0700X
Medical Physician Assistant
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700H231390
BCBS GROUP NUMBER
MI
Enumeration date
08/31/2011
Last updated
10/12/2011
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