Individual
THOMAS FOHNATEE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2950
Mailing address
43321 CARLYLE PL APT 711, CLINTON TWP, MI 48038-6199
(862) 216-2524
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101017493
MI
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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