Individual
MICHAEL J. THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5500 AUTO CLUB DR, DEARBORN, MI 48126-2779
(313) 982-8214
Mailing address
5500 AUTO CLUB DR, DEARBORN, MI 48126-2779
(313) 982-8214
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57585
MI
Other
Enumeration date
12/01/2006
Last updated
03/24/2021
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