Waldinger, Thomas Powell

Waldinger, Thomas Powell is an individual health care provider with primary practice located at 285 N Lilley Rd , Canton MI 48187-3907. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Waldinger, Thomas Powell can be contacted via phone (734) 495-1506.

Contact Information

Primary practice address
285 N Lilley Rd Canton MI 48187-3907
Fax: (734) 829-2589
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 4301043778 Michigan
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4301043778 Michigan

Profile Details

NPI number 1134125065
LBN Legal business name Waldinger, Thomas Powell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Oct 30th, 2018 - about 7 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 1134125065 NPPES
Michigan Other 0P12450 MEDICARE GROUP

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