Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 18408 | MI |
NPI | 1144277203 |
---|---|
Provider Name | Dr. Thomas Vokal |
First Address | Clinton Twp, MI 48038-3527 |
Second Address | Clinton Twp, MI 48038-3527 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 08/07/2007 |