Individual
THOMAS E TOMCZAK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2431 S. M-30, WEST BRANCH, MI 48661-9312
(989) 894-3278
(989) 891-8155
Mailing address
401 S. BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1591
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4704213286
MI
363LF0000X
Family Nurse Practitioner
4704213286
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4891491
—
MI
Enumeration date
07/26/2006
Last updated
04/25/2012
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