Individual
DR. SHIRLEY C TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301097230
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301097230
MI
Other
Enumeration date
07/27/2010
Last updated
09/16/2016
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