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Individual

DR. JEAN E THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1314 N MACOMB ST, MONROE, MI 48162-3131
(734) 242-6872
(734) 242-4962
Mailing address
1314 N MACOMB ST, MONROE, MI 48162-3131
(734) 242-6872
(734) 242-4962

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
35074047
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35074047
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2417683
OH
Enumeration date
07/08/2005
Last updated
08/08/2016
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