Thomas Park is a Addiction Medicine in Southfield, Michigan. Thomas Park practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Thomas Park is 1629169412. The last update date is 2023-08-16.
Thomas Park's current location address is 23077 Greenfield #430, Southfield, Michigan. You can contact this provider via phone number 2485520044 and fax number 2484237777. The mailing address for Thomas Park is 23077 Greenfield #430, Southfield, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Park |
|---|---|
| Address | 23077 Greenfield #430, Southfield, Michigan |
| Phone Number | 2485520044 |
| Fax Number | 2484237777 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1629169412 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2023-08-16 |
Provider Mailing Address Detail
| Address | 23077 Greenfield #430 |
|---|---|
| City | Southfield |
| State | Michigan (MI) |
| Post Code | 48075 |
| Phone Number | 2485520044 |
| Fax Number | 2484237777 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2084A0401X |
| Licence No | 40933 |
|
Definition: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M13298001 | MI | PTAN |
Post Comment/ Review Below
What is the unique identification code assigned to Thomas Park by the Centers for Medicare & Medicaid Services?
The Thomas Park has been issued the NPI (National Provider Identifier) 1629169412. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Thomas Park is physically located?
The Thomas Park is situated at the following address: 23077 Greenfield #430, Southfield, MI 48075.
What is Thomas Park's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thomas Park's area of specialization is Addiction Medicine, and the corresponding taxonomy code that categorizes this field of practice is 2084A0401X.
On what date did the Thomas Park receive the assignment of its 1629169412 from the Centers for Medicare & Medicaid Services?
The Thomas Park was issued its 1629169412 by the Centers for Medicare & Medicaid Services on 2006-09-27.
As of what date were the details related to Thomas Park most recently updated or revised?
The information pertaining to Thomas Park, including its address, specialty, and other relevant details, was last updated or revised on 2023-08-16.
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