Individual
IMANI K. THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8234
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-8445
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301085617
MI
Other
Enumeration date
05/22/2007
Last updated
03/31/2009
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