Individual
DAVID WILLIAM THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5701 BOW POINTE DR, SUITE 100, CLARKSTON, MI 48346-3198
(248) 625-2621
(248) 625-8938
Mailing address
5701 BOW POINTE DR, SUITE 100, CLARKSTON, MI 48346-3198
(248) 625-2621
(248) 625-8938
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DT011134
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153628865
BCBS IND
MI
05
—
1942208772
—
MI
01
—
P00943457
RAILROAD MEDICARE IND PIN
MI
Enumeration date
07/14/2005
Last updated
08/30/2011
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