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NPI Code Detail

MEDICARE: DR. ANDREW MICHAEL THOMPSON D.P.M.

MEDICARE: DR. ANDREW MICHAEL THOMPSON D.P.M.
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
1213ES0103XFoot & Ankle Surgery Podiatrist5901002716MI

General Provider Information

NPI Number : 1427432384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW MICHAEL THOMPSON D.P.M.
Provider Business Mailing Address
First Line : 295 CLOVERLY RD
Second Line :
City : GROSSE POINTE FARMS
State : MI
Zip : 48236-3303
Country : US
Telephone Number : 248-210-5257
Fax Number :
Provider Business Practice Location Address
First Line : 18530 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48223-2319
Country : US
Telephone Number : 313-273-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2015
Last Update Date : 01/04/2024

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