THOMAS A LEBEAU DPM PC
Podiatry at Novi Rd, Northville, MI

License number
Michigan 5901001508
Category
Podiatry
Type
Podiatrist
Owner
Name: THOMAS A LEBEAU DPM
Title: OWNER
Phone: (248) 974-1979
Address
Address
957 Novi Rd APT 16, Northville, MI 48167
National Provider ID: 1811149644
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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THOMAS A. LEBEAU, DPM, PC

Northville, MI

Status:
Inactive
Registration:
Sep 17, 2008
Addresses:
957 Novi Rd APT 16, Northville, MI 48167 (Physical)
Michigan (Mailing)
State ID:
02132H
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2012
Agent:
Thomas A Lebeau

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