SearchMichigan101YM0800X

Deangelo Thomas

NPI 1316716483 · on the registry since 2023 · sole proprietor

Practice

Address
1136 Carpenter Dr
Pontiac, MI 48340
Phone
(248) 818-1189
Clinicians at this address
2

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan