Wakefield, Thomas W

Wakefield, Thomas W is an individual health care provider with primary practice located at 1500 East Medical Center Dr 3Rd Floor Cardiovascular Center Recp B, Ann Arbor MI 48109-5329. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Wakefield, Thomas W can be contacted via phone (734) 936-5850.

Contact Information

Primary practice address
1500 East Medical Center Dr 3Rd Floor Cardiovascular Center Recp B Ann Arbor MI 48109-5329
Phone: (734) 936-5850
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301042329 Michigan
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 4301042329 Michigan
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301042329 Michigan

Profile Details

NPI number 1902907819
LBN Legal business name Wakefield, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 16th, 2011 - 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 1902907819 NPPES
Michigan MEDICAID 1592499

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