MEDICARE: ROSEMARIE THOMAS M.D.

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
1	207R00000X	Internal Medicine Physician	4301059447	MI

Other Identifiers

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

General Provider Information

NPI Number	:	1962503276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSEMARIE THOMAS M.D.

Provider Business Mailing Address
First Line	:	9690 E MI STATE ROAD 36
Second Line	:	PO BOX 606
City	:	WHITMORE LAKE
State	:	MI
Zip	:	48189-9703
Country	:	US
Telephone Number	:	734-449-2033
Fax Number	:	734-449-7186

Provider Business Practice Location Address
First Line	:	9690 E MI STATE ROAD 36
Second Line	:
City	:	WHITMORE LAKE
State	:	MI
Zip	:	48189-9703
Country	:	US
Telephone Number	:	734-449-2033
Fax Number	:	734-449-7186

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/08/2007

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