Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 4301078164 | MI |
Y | 207YP0228X | Pediatric Otolaryngology | 4301078164 | MI |
NPI | 1881893048 |
---|---|
Provider Name | Marc Christian Thorne |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-5312 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 06/08/2008 |