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Individual

DR. THOMAS JAMES HERBST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 E WASHINGTON ST, STE 708, ANN ARBOR, MI 48104-2017
(734) 327-9322
Mailing address
202 E WASHINGTON ST, STE 708, ANN ARBOR, MI 48104-2017
(734) 327-9322

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
43010577730
MI
2084P0804X
Child & Adolescent Psychiatry Physician
43010577730
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
260811895-1
BCBS OF MI PIN
MI
01
260811895-2
BCBS-PPO
MI
01
5765659
AETNA
MI
Enumeration date
07/11/2005
Last updated
01/17/2012
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