Provider Demographics
NPI:1144758236
Name:THURMAN, CLEOPATRA NSOFWA (DO)
Entity Type:Individual
Prefix:
First Name:CLEOPATRA
Middle Name:NSOFWA
Last Name:THURMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CLEOPATRA
Other - Middle Name:
Other - Last Name:MWANSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:SPARROW HOSPITAL
Mailing Address - Street 2:1215 EAST MICHIGAN AVENUE
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912
Mailing Address - Country:US
Mailing Address - Phone:517-432-9277
Mailing Address - Fax:517-432-9414
Practice Address - Street 1:1215 EAST MICHIGAN AVENUE
Practice Address - Street 2:SPARROW HOSPITAL
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912
Practice Address - Country:US
Practice Address - Phone:517-432-9277
Practice Address - Fax:517-432-9414
Is Sole Proprietor?:No
Enumeration Date:2017-06-01
Last Update Date:2017-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI51010231232084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology