Individual
MRS. MICHELLE KELLI THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
48221 FARAH DR, MACOMB, MI 48044-2010
(586) 350-9304
Mailing address
48221 FARAH DR, MACOMB, MI 48044-2010
(586) 350-9304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704302721
MI
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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