NPI 1467529735 MR. THOMAS WILLIAM DEROCHE PA-C MANISTIQUE MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mr. Thomas William Deroche - NPI: 1467529735

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MR. THOMAS WILLIAM DEROCHE
NPI Number: 1467529735
Entity Type Code: Individual (1)
Gender: M
Credentials: PA-C
License Number: 5601002637
Business Practice Address: 7870w Us Highway 2
Manistique, MI - 498548992
Business Phone Number: 9063413200
Business Fax Number:
Mailing Address: 7870w Us Highway 2,
MANISTIQUE
State: MI
Postal Code: 498548992
Phone Number: 9063413200
Fax Number:
NPI Enumeration Date: 11/29/2006
NPI Last Update Date: 08/13/2015
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 363AM0700X
License Number: 5601002637
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification: Physician Assistant
Taxonomy Specialization: Medical
Taxonomy Definition:


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