Individual
STEVEN V THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4110 COPPER RIDGE DR, STE 242 BLDG D, TRAVERSE CITY, MI 49684
(231) 929-7700
(231) 929-7709
Mailing address
4110 COPPER RIDGE DR, STE 242 BLDG D, TRAVERSE CITY, MI 49684
(231) 929-7700
(231) 929-7709
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301054838
MI
208200000X
Plastic Surgery Physician
ST054838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104859055
—
MI
01
—
2402810801
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/09/2006
Last updated
04/06/2015
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