Mianecki, Thomas L

Mianecki, Thomas L is an individual health care provider with primary practice located at 32901 23 Mile Rd Suite 100, Chesterfield MI 48047-4063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mianecki, Thomas L can be contacted via phone (586) 725-8500.

Contact Information

Primary practice address
32901 23 Mile Rd Suite 100 Chesterfield MI 48047-4063
Phone: (586) 725-8500
Fax: (586) 725-5311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 007185 Michigan

Profile Details

NPI number 1013909795
LBN Legal business name Mianecki, Thomas L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jun 22nd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013909795 NPPES
Michigan MEDICAID 1380281

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