Individual
THOMSON SAM VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 SOUTH DR STE 341, MT PLEASANT, MI 48858-3255
(989) 772-6700
Mailing address
1201 SOUTH DR STE 341, MT PLEASANT, MI 48858-3255
(989) 772-6700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301504847
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301504847
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301504847
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/28/2014
Last updated
07/15/2021
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