Individual
THOMAS W PFENNIG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O., FAOCO
Contact information
Practice address
1555 44TH ST SW, WYOMING, MI 49509-4395
(616) 249-8000
(616) 249-8088
Mailing address
1555 44TH ST SW, WYOMING, MI 49509-4395
(616) 249-8000
(616) 249-8088
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
5101009647
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2854990
—
MI
Enumeration date
04/19/2006
Last updated
07/08/2007
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