Individual
THOMAS RYU MAEHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
(269) 337-4400
Mailing address
16828 HORSESHOE DR, NORTHVILLE, MI 48168-8586
(248) 277-8703
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OP61426742
WA
390200000X
Student in an Organized Health Care Education/Training Program
5151014596
MI
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/15/2018
Last updated
07/19/2023
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