Tilson, Michael Anthony
Tilson, Michael Anthony is an sole proprietor health care provider with primary practice located at 1704 S Custer Rd , Monroe MI 48161. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Tilson, Michael Anthony can be contacted via phone (734) 241-1100.Contact Information
Primary practice address
1704 S Custer Rd
Monroe MI 48161
Phone: (734) 241-1100
Fax: (734) 241-5114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301117500 | Michigan |
Profile Details
| NPI number | 1801242334 |
|---|---|
| LBN Legal business name | Tilson, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2016 |
| Last updated | Nov 3rd, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801242334 | NPPES |
| Michigan | MEDICAID | 1801242334 |
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