Thomas L Mianecki DO

NPI 1013909795 - Family Medicine - 207Q00000X

NPI Details
NPI 1013909795
Gender Male
Enumeration Date 08/18/2005
Last Updated 06/22/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
32901 23 MILE RD
SUITE 100
CHESTERFIELD MI, 48047-4063, US
Phone (586) 725-8500
Fax (586) 725-5311
Business Location
32901 23 MILE RD
SUITE 100
CHESTERFIELD MI, 48047-4063, US
Phone (586) 725-8500
Fax (586) 725-5311
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 007185
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According to our database, Dr. Thomas L Mianecki DO NPI is 1013909795, taxonomy code is 207Q00000X and license number is 007185, license state is located at Michigan. Thomas L Mianecki DO physically located at 32901 23 Mile Rd, Chesterfield MI, 48047-4063. NPI Number Thomas L Mianecki DO has the Individual type.

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1013909795 NPI number is provided on an as is basis without warranty of any kind. 1013909795 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas L Mianecki DO are for informational purposes only.