Individual
DEANDRA MEDORA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 UNIVERSITY DR, SUITE 105, PONTIAC, MI 48342-1885
(248) 373-2720
(248) 373-3080
Mailing address
989 UNIVERSITY DR, SUITE 105, PONTIAC, MI 48342-1885
(248) 373-2720
(248) 373-3080
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005182
MI
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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