Shelby Thomas II

NPI #1043763279 in Southfield, Michigan

Provider Information

NPI Number: 1043763279
Entity Type: Individual
Name: Shelby Thomas II
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 23, 2016
Last Updated: Jul 23, 2016

Practice Location

Address: 16300 FAIRFAX ST
City: Southfield
State: Michigan
ZIP Code: 48075-3077
Phone: (313) 671-7109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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