Healthcare Provider Details

I. General information

NPI: 1205873056
Provider Name (Legal Business Name): THOMAS R AKLAND DO
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 ANGLING RD
PORTAGE MI
49024-7422
US

IV. Provider business mailing address

5943 STADIUM DR SUITE 3
KALAMAZOO MI
49009-3016
US

V. Phone/Fax

Practice location:
  • Phone: 269-329-0944
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5101015299
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: