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NPI Code Detail

MEDICARE: DR. ALLAN KEITH THORBURN MD

MEDICARE: DR. ALLAN KEITH THORBURN 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
12084P0800XPsychiatry Physician4301024963MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3260B56093OTHERMIBCBS

General Provider Information

NPI Number : 1073541280
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALLAN KEITH THORBURN MD
Provider Business Mailing Address
First Line : 1570 SUNCREST DR
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-667-0500
Fax Number : 810-664-8728
Provider Business Practice Location Address
First Line : 1570 SUNCREST DR
Second Line :
City : LAPEER
State : MI
Zip : 48446-1154
Country : US
Telephone Number : 810-667-0500
Fax Number : 810-664-8728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 12/07/2025

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1497852537 — MRS. SANDRA ANN SANTAROSSA LMSW
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1174621510 — MR. WILLIAM J LEIX LBSW
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48446-1154
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1588762561 — MS. SUSAN F CLEMENT LPC, NCC
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Directions to “ DR. ALLAN KEITH THORBURN MD” Practice Location

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