Individual
BRIAN D THWAITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
303 CONGRESS ST, SHERIDAN, MI 48884-9215
(989) 291-5077
(989) 291-4348
Mailing address
301 N MAIN ST, P.O BOX 155, SHERIDAN, MI 48884-9235
(989) 291-6264
(989) 291-5350
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003377
MI
Other
Enumeration date
02/05/2007
Last updated
11/10/2021
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