Individual
DR. SHANITA MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-4578
Mailing address
221 MICHIGAN ST NE STE 400, GRAND RAPIDS, MI 49503-2538
(616) 267-8244
(616) 267-7272
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
4301514851
MI
Other
Enumeration date
04/08/2022
Last updated
10/29/2025
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