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NPI Code Detail

MEDICARE: THOMAS F ROE MD

MEDICARE:   THOMAS F ROE  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
1207Q00000XFamily Medicine Physician4301043894MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225078108
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS F ROE MD
Provider Business Mailing Address
First Line : 317 E GRAND RIVER RD
Second Line :
City : LAINGSBURG
State : MI
Zip : 48848-8742
Country : US
Telephone Number : 517-651-2801
Fax Number : 517-651-2310
Provider Business Practice Location Address
First Line : 317 E GRAND RIVER RD
Second Line :
City : LAINGSBURG
State : MI
Zip : 48848-8742
Country : US
Telephone Number : 517-651-2801
Fax Number : 517-651-2310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2006
Last Update Date : 03/25/2016

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Directions to “ THOMAS F ROE MD” Practice Location

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