Individual
TOM MCPHAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61023 HERITAGE BLVD, SOUTH LYON, MI 48178-1029
(734) 680-0469
Mailing address
61023 HERITAGE BLVD, SOUTH LYON, MI 48178-1029
(734) 680-0469
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247200000
—
MI
Enumeration date
01/23/2017
Last updated
01/23/2017
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