DR. Keith B Tom, DO

NPI #1609850130 in Shelby Twp, Michigan

Provider Information

NPI Number
1609850130
Entity Type
Individual
Name
DR. Keith B Tom, DO
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
DO
Enumeration Date
Nov 29, 2005
Last Updated
Oct 25, 2007

Practice Location

Address
49221 VAN DYKE
ZIP Code
48317-1336
Phone
(586) 254-4860

Specialties & Taxonomy Codes

Specialty
Family Medicine

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