Individual
DR. DANIEL J THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
101 BRIDGE ST, EAST JORDAN, MI 49727-9301
(231) 536-2616
Mailing address
PO BOX 602, EAST JORDAN, MI 49727-0602
(231) 536-2616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004661
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A55139
BLUE CROSS
MI
05
—
1609934
—
MI
Enumeration date
09/20/2006
Last updated
07/16/2008
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