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Keith Tom, DO
NPI 1609850130 · on the registry since 2005
Practice
- Address
- 49221 Van Dyke
Shelby Twp, MI 48317 - Phone
- (586) 254-4860
- Fax
- (586) 254-5844
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-25
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