Andrew Thomas, M.d.,p.c. | |
4727 Saint Antoine St Suite 211 Detroit MI 48201-1461 | |
(313) 833-5032 | |
(313) 833-7851 |
Full Name | Andrew Thomas, M.d.,p.c. |
---|---|
Speciality | Family Medicine |
Location | 4727 Saint Antoine St, Detroit, Michigan |
Authorized Official Name and Position | Andrew Nmn Thomas (PRESIDENT) |
Authorized Official Contact | 3136800619 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Andrew Thomas, M.d.,p.c. 5576 Woodhall St Detroit MI 48224-2135 Ph: (313) 833-5032 | Andrew Thomas, M.d.,p.c. 4727 Saint Antoine St Suite 211 Detroit MI 48201-1461 Ph: (313) 833-5032 |
NPI Number | 1144365388 |
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Provider Enumeration Date | 02/21/2007 |
Last Update Date | 08/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144365388 | NPI | - | NPPES |
OP24430 | Medicaid | MI | |
4742428 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301051568 (Michigan) | Primary |
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