NPI 1003536541

Derek Curtis Thamarus

Practitioner Registered Nurse Detroit, MI

Practice location

Address: 4646 John R St, Detroit, MI 48201-1916
Phone: (313) 576-1294

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 4704226619 (MI)

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Registry record

NPI: 1003536541
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Sep 2022
Record last updated: 2 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.