Individual
JUSTIN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3403
Mailing address
18250 BIRWOOD AVE, BEVERLY HILLS, MI 48025-3137
(248) 633-4033
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
5101021210
MI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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