Individual
THOMAS MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7733 E JEFFERSON AVE, DETROIT, MI 48214-3707
(313) 499-4915
(313) 499-4460
Mailing address
461 W HURON ST, NOMC NICU, PONTIAC, MI 48341-1601
(248) 857-7421
(248) 857-6878
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
4301035856
MI
Other
Enumeration date
11/16/2006
Last updated
07/08/2007
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