Individual
MICHAEL JON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714
(812) 473-2642
Mailing address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01080572A
IN
208600000X
Surgery Physician
036-141216
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01080572A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
036-141216
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036141216
—
IL
Enumeration date
06/29/2009
Last updated
07/22/2022
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