Individual
DR. THOR M THORSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E MEDICAL CENTER DR, 11TH FLOOR CS MOTT CHILDRENS HOSPITAL ROOM 661, ANN ARBOR, MI 48109-5000
(734) 764-5176
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301091651
MI
2080P0202X
Pediatric Cardiology Physician
Primary
4301091651
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/15/2007
Last updated
06/18/2013
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