Individual
MISTER THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(734) 324-8326
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
MI
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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