Individual provider · Type 1 NPI

Michael Andre Thibault Jr.

Technician/Technologist · Dearborn, MI

NPI number 1023772209 Active

Practice location

19853 Outer Dr Ste 110
Dearborn, MI 48124-2044

Call (313) 406-5056 Map

Specialties and licenses

TaxonomyCodeLicense
Technician/Technologist Primary 156F00000XNone listed

Technician/Technologist: A broad category grouping different kinds of technologists and technicians. See individual definitions.

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About NPI 1023772209

Michael Andre Thibault Jr.'s National Provider Identifier is 1023772209, issued on Oct 25, 2021. The primary taxonomy on file is Technician/Technologist (156F00000X), and the practice location is in Dearborn, MI. The record was last updated on Oct 25, 2021.