Individual
DR. THOMAS CHARLES SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1051 NORTH CANTON CENTER RD, CANTON, MI 48187-5097
(734) 844-5400
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301033302
MI
2080P0208X
Pediatric Infectious Diseases Physician
4301033302
MI
Other
Enumeration date
01/22/2008
Last updated
04/11/2012
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