Dr. Thor M Thorsson, M.D.
Pediatrics, Pediatric Cardiology in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1649462425
StatusActive
Last updated in NPPESJun 18, 2013
Details
- NPI
- 1649462425
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thor M Thorsson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2007
- Last updated
- Jun 18, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | 4301091651 | MI | Yes |
| 208000000X | Pediatrics | 4301091651 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1500 E Medical Center Dr11th Floor Cs Mott Childrens Hospital Room 661
Ann Arbor, MI 48109-5000
Phone 734-764-5176
Mailing address
3621 S State St700 Kms Place
Ann Arbor, MI 48108
Phone 734-936-2047
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