Individual
DR. JEFFREY ALLEN THOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
78 N DIVISION ST, HESPERIA, MI 49421-5100
(231) 854-6415
(231) 854-6975
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
JT009157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3024089
—
MI
Enumeration date
08/27/2006
Last updated
12/30/2015
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