Individual
DR. THOMAS A WEIMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5333 MCAULEY DR, RM 2017, YPSILANTI, MI 48197-1096
(734) 434-3200
(734) 434-3209
Mailing address
5333 MCAULEY DR, RM 2017, YPSILANTI, MI 48197-1096
(734) 434-3200
(734) 434-3209
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
TW034716
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040004232
RAILROAD MEDICARE
MI
01
—
103820
CARE CHOICE PROVIDER ID
MI
05
—
1315167
—
MI
01
—
B6940
MCARE PROVIDER ID
MI
01
—
TW034716
MI LICENSE NUMBER
MI
Enumeration date
06/20/2005
Last updated
10/19/2012
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