Individual
PHILOMINA C THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4727 ST ANTOINE, STE 212, DETROIT, MI 48201
(313) 833-7266
(313) 833-7085
Mailing address
4727 ST ANTOINE, STE 212, DETROIT, MI 48201
(313) 833-7266
(313) 833-7085
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301040162
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2984591
—
MI
Enumeration date
08/16/2006
Last updated
07/08/2007
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