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Individual

THOMAS ANDERS BREVIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M-16144
ID
207RN0300X
Nephrology Physician
Primary
4301509597
MI
207RN0300X
Nephrology Physician
M-16144
ID

Other

Enumeration date
06/20/2015
Last updated
01/23/2024
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