Michael Andre Thibault JR.
Technician/Technologist
19853 Outer Dr Ste 110
Dearborn
, Michigan 48124-2044
Michael Andre Thibault JR.
Technician/Technologist
19853 Outer Dr Ste 110
Dearborn
, Michigan 48124-2044
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About
Features
Specialties
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Michael Andre Thibault JR.
- 19853 Outer Dr Ste 110
- Dearborn, MI
- Zip : 48124-2044
- Phone :
Second Address
- Michael Andre Thibault JR.
- 19853 Outer Dr Ste 110
- Dearborn, MI
- Zip : 48124-2044
- Phone : (313) 406-5056
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | MI |
National Provider Identifier
| NPI | 1023772209 |
|---|---|
| Provider Name | Michael Andre Thibault JR. |
| First Address | Dearborn, MI 48124-2044 |
| Second Address | Dearborn, MI 48124-2044 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2021 |
| Last Update Date | 25/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.