Individual
MIRIAM R THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 434-6262
(734) 712-2820
Mailing address
5300 ELLIOTT DR, YPSILANTI, MI 48197-8632
(734) 822-2826
(734) 434-9517
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
4301069323
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028223
MIDWEST HEALTH PLAN
MI
01
—
0812048
BCBS INDIVIDUAL
MI
01
—
0H14989
BCBS GROUP
MI
05
—
4620873
—
MI
01
—
5560329
CIGNA
MI
01
—
7318554
AETNA
MI
01
—
P00124944
MEDICARE RAILROAD PTAN
MI
Enumeration date
01/17/2006
Last updated
09/27/2023
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