Individual
DR. MARY ELIZABETH THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1280 CHARTWELL CARRIAGE WAY NORTH, EAST LANSING, MI 48823-2404
(517) 337-2030
(517) 337-2030
Mailing address
1280 CHARTWELL CARRIAGE WAY NORTH, EAST LANSING, MI 48823-2404
(517) 337-2030
(517) 337-2030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301050887
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0803306961
BCBS INDIVIDUAL PIN
MI
05
—
2753674
—
MI
Enumeration date
09/16/2006
Last updated
02/03/2009
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