Organization Name: | THOMAS C HOSEY DPM & ASSOCIATES PC |
NPI Number: | 1265404701 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS C HOSEY (CEO) |
Mailing Address: | 20225 E 9 Mile Rd St Clair Shores |
State: | MI US |
Postal Code: | 480801775 |
Phone Number: | 5867722025 |
Fax Number: | 5867722865 |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 5901001045 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |