Thao Phuong Pham D.O.

NPI 1093767683 - Family Medicine - 207Q00000X

NPI Details
NPI 1093767683
Gender Female
Enumeration Date 05/16/2006
Last Updated 02/13/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
15717 15 MILE RD
CLINTON TWP MI, 48035-2101, US
Phone (586) 285-3800
Fax (586) 285-3818
Business Location
15717 15 MILE RD
CLINTON TWP MI, 48035-2101, US
Phone (586) 285-3800
Fax (586) 285-3818
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 5101014259
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According to our database, Dr. Thao Phuong Pham D.O. NPI is 1093767683, taxonomy code is 207Q00000X and license number is 5101014259, license state is located at Michigan. Thao Phuong Pham D.O. physically located at 15717 15 Mile Rd, Clinton Twp MI, 48035-2101. NPI Number Thao Phuong Pham D.O. has the Individual type.

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1093767683 NPI number is provided on an as is basis without warranty of any kind. 1093767683 is maintained by the National Plan & Provider Enumeration System. The contents of Thao Phuong Pham D.O. are for informational purposes only.