Healthcare Provider Details

I. General information

NPI: 1639583529
Provider Name (Legal Business Name): KARI G TOMLINSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 E EISENHOWER PKWY SUITE B
ANN ARBOR MI
48108-3302
US

IV. Provider business mailing address

3621 S STATE ST 700 KMS PLACE
ANN ARBOR MI
48108
US

V. Phone/Fax

Practice location:
  • Phone: 734-232-2600
  • Fax:
Mailing address:
  • Phone: 734-936-2047
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301105861
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: