Individual
THOMAS KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1250 E MICHIGAN AVE, GRAYLING, MI 49738-7074
(989) 348-0550
Mailing address
375 RIVER ST, MANISTEE, MI 49660-2729
(231) 398-1950
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704244623
MI
Other
Enumeration date
08/17/2018
Last updated
09/12/2024
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