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Individual

THOMAS J GEROU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
7277 N LILLEY RD, CANTON, MI 48187-2434
(734) 981-6969
(734) 416-3976
Mailing address
7277 N LILLEY RD, CANTON, MI 48187-2434
(734) 981-6969
(734) 416-3976

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005337
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1839415
MI
01
OH25202951
BCBS OF MI
MI
01
P79012
BLUE CARE NETWORK
MI
Enumeration date
07/24/2006
Last updated
10/03/2016
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