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Organization

GENERAL MEDICINE OF IL NURSE PRACTITIONERS, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS PROSE M.D. (PRESIDENT)
(248) 662-0250
Entity
Organization

Contact information

Practice address
21333 HAGGERTY RD, SUITE 150, NOVI, MI 48375-5510
(248) 662-0250
(248) 662-9844
Mailing address
21333 HAGGERTY RD, SUITE 150, NOVI, MI 48375-5510
(248) 662-0250
(248) 662-9844

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
IL

Other

Enumeration date
04/28/2008
Last updated
05/02/2008
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