Individual
JOSEPH THOMAS CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
4301100457
MI
2086S0120X
Pediatric Surgery Physician
MD473939
PA
390200000X
Student in an Organized Health Care Education/Training Program
4301100457
MI
Other
Enumeration date
06/05/2012
Last updated
10/18/2023
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