Individual
DR. THOMAS EDWARD HERREMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MPH MS
Contact information
Practice address
4353 SAWKAW NE, GRAND RAPIDS, MI 49525
(616) 363-9821
(616) 365-9206
Mailing address
4353 SAWKAW NE, GRAND RAPIDS, MI 49525
(616) 363-9821
(616) 365-9206
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901017050
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2166835
—
MI
Enumeration date
12/11/2006
Last updated
07/08/2007
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