Thomas M Flake Jr.
THOMAS M FLAKE JR MD PC


Address: 23077 Greenfield Rd Su, Southfield, MI 48075-3706
Phone: 2485695407

Thomas M Flake Jr. (NPI# 1326036849, PAC ID# 2961682877) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1326036849
PAC ID by PECOS 2961682877
Professional Enrollment ID I20110210000112
Full Name Thomas M Flake Jr.
Organization Legal Name THOMAS M FLAKE JR MD PC
Address 23077 Greenfield Rd Su
Southfield
MI 48075-3706
Phone Number 2485695407
Gender M
Medical School WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty GENERAL PRACTICE
Group Practice PAC ID 8325228224
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230019 PROVIDENCE - PROVIDENCE PARK HOSPITAL
230104 HARPER UNIVERSITY HOSPITAL
230024 SINAI-GRACE HOSPITAL
230142 BEAUMONT HOSPITAL - WAYNE
230020 BEAUMONT HOSPITAL - DEARBORN

Other Locations

Address Phone Organization
23077 Greenfield Rd Su, Southfield, MI 48075-3706 2485695407 THOMAS M FLAKE JR MD PC
23077 Greenfield Rd Su, Suite 445, Southfield, MI 48075-3706 2485695407 THOMAS M FLAKE JR MD PC

Organization Information

Organization Legal Name THOMAS M FLAKE JR MD PC
Physicians 1

Office Location

Street Address 23077 GREENFIELD RD SU
City SOUTHFIELD
State MI
Zip 48075-3706

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Competitor

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City SOUTHFIELD
Zip Code 48075
Specialty GENERAL PRACTICE
City + Specialty SOUTHFIELD + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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