Keith B Tom is a Family Medicine in Shelby Twp, Michigan. Keith B Tom practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Keith B Tom is 1609850130. The last update date is 2007-10-25.
Keith B Tom's current location address is 49221 Van Dyke, Shelby Twp, Michigan. You can contact this provider via phone number 5862544860 and fax number 5862545844. The mailing address for Keith B Tom is 49221 Van Dyke, Shelby Twp, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Keith B Tom |
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Address | 49221 Van Dyke, Shelby Twp, Michigan |
Phone Number | 5862544860 |
Fax Number | 5862545844 |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1609850130 |
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Provider Enumeration Date | 2005-11-29 |
Last Updated Date | 2007-10-25 |
Provider Mailing Address Detail
Address | 49221 Van Dyke |
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City | Shelby Twp |
State | Michigan (MI) |
Post Code | 483171336 |
Phone Number | 5862544860 |
Fax Number | 5862545844 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 5101008999 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2646558 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Keith B Tom by the Centers for Medicare & Medicaid Services (CMS)?
The Keith B Tom has been assigned the NPI (National Provider Identifier) 1609850130. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Keith B Tom is physically located?
The Keith B Tom is physically situated at the following address: 49221 Van Dyke, Shelby Twp, MI, 483171336.
What is Keith B Tom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Keith B Tom's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1609850130 to Keith B Tom?
The Centers for Medicare & Medicaid Services originally issued the 1609850130 to Keith B Tom on 2005-11-29.
When was the Keith B Tom's information last updated?
The Keith B Tom's information was last updated on 2007-10-25.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY