Organization
THOMAS J HERBST MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J HERBST MD (SOLE PROPRIETOR)
(734) 327-9322
Entity
Organization
Contact information
Practice address
202 E WASHINGTON ST STE 708, ANN ARBOR, MI 48104-2017
(734) 327-9322
Mailing address
202 E WASHINGTON ST STE 708, ANN ARBOR, MI 48104-2017
(734) 327-9322
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
4301057770
MI
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
4301057770
MI
Other
Enumeration date
04/09/2011
Last updated
04/09/2011
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