Organization
MI HOUSE PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORENCE E THOMAS MD (MEDICAL DIRECTOR)
(248) 233-6463
Entity
Organization
Contact information
Practice address
17515 W 9 MILE RD, SUITE 730, SOUTHFIELD, MI 48075-4403
(248) 233-6463
Mailing address
17515 W 9 MILE RD, SUITE 730, SOUTHFIELD, MI 48075-4403
(248) 233-6463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301074204
MI
Other
Enumeration date
10/24/2016
Last updated
11/21/2016
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