Individual
THOMAS MIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 PERKINS SQ, AKRON, OH 44308-1063
(330) 543-1000
Mailing address
25 FRENCH MILL RUN APT 19, CUYAHOGA FALLS, OH 44223-3427
(570) 709-4073
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.139610
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2017
Last updated
06/22/2020
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