Thomas William Deroche in Manistique - Medical

Thomas William Deroche - NPI 1467529735

Thomas William Deroche is a Medical in Manistique, Michigan. Thomas William Deroche practices all healthcare services and medical treatments related to Medical. The NPI Number for Thomas William Deroche is 1467529735. The last update date is 2015-08-13.

Thomas William Deroche's current location address is 7870w Us Highway 2, Manistique, Michigan. You can contact this provider via phone number 9063413200. The mailing address for Thomas William Deroche is 7870w Us Highway 2, Manistique, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas William Deroche
Address 7870w Us Highway 2, Manistique, Michigan
Phone Number 9063413200
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1467529735
Provider Enumeration Date 2006-11-29
Last Updated Date 2015-08-13

Provider Mailing Address Detail

Address 7870w Us Highway 2
City Manistique
State Michigan (MI)
Post Code 498548992
Phone Number 9063413200
Fax Number

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 5601002637
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Thomas William Deroche

What is the unique provider identifier assigned to Thomas William Deroche?

The Thomas William Deroche has been issued the NPI (National Provider Identifier) 1467529735 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Thomas William Deroche?

The Thomas William Deroche is physically situated at 7870W Us Highway 2, in the city of Manistique, state of MI, with the postal code 498548992.

What is the Thomas William Deroche's specialty and taxonomy code?

The Thomas William Deroche's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.

On what date did the Thomas William Deroche receive its 1467529735 assignment from the Centers for Medicare & Medicaid Services?

The Thomas William Deroche was assigned its 1467529735 by the Centers for Medicare & Medicaid Services on 2006-11-29.

When was the information related to Thomas William Deroche most recently updated or refreshed?

The details pertaining to the Thomas William Deroche, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-08-13.

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