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NPI Code Detail

MEDICARE: SONIA LYNN THOMAS MD

MEDICARE:   SONIA LYNN THOMAS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207K00000XAllergy & Immunology Physician4301103821MI
2208000000XPediatrics Physician4301103821MI

General Provider Information

NPI Number : 1043650732
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONIA LYNN THOMAS MD
Provider Business Mailing Address
First Line : 19855 OUTER DR STE 200
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2022
Country : US
Telephone Number : 313-565-3565
Fax Number :
Provider Business Practice Location Address
First Line : 19855 OUTER DR STE 200
Second Line :
City : DEARBORN
State : MI
Zip : 48124-2022
Country : US
Telephone Number : 313-565-3565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2013
Last Update Date : 12/22/2025

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Directions to “ SONIA LYNN THOMAS MD” Practice Location

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