Individual
NATHAN P TOMITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
5101013860
MI
208600000X
Surgery Physician
Primary
DOS1441
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0257801385
BCBSM
MI
05
—
114583911
—
MI
Enumeration date
11/07/2005
Last updated
11/19/2024
Update your record
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