Individual
DR. THOMAS MICHAEL HEARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5315 ELLIOTT DR STE 304, YPSILANTI, MI 48197-8634
(734) 712-0655
(737) 712-0611
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
125053349
IL
207X00000X
Orthopaedic Surgery Physician
Primary
4301104332
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD14869
GROUP PTAN
MI
Enumeration date
08/21/2008
Last updated
07/21/2022
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