Individual
DR. THOMAS MARCUS MICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 444-5807
(216) 587-8646
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0002
(216) 444-5807
(216) 587-8646
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
60 238722
NY
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
35.137477
OH
207RS0010X
Sports Medicine (Internal Medicine) Physician
60 238722
NY
2084P0800X
Psychiatry Physician
60 238722
NY
Other
Enumeration date
10/10/2006
Last updated
01/08/2020
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