Provider Demographics
NPI:1639102445
Name:F. THOMAS DAY, M.D., PLLC
Entity Type:Organization
Organization Name:F. THOMAS DAY, M.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:F.
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:231-547-1255
Mailing Address - Street 1:12162 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:CHARLEVOIX
Mailing Address - State:MI
Mailing Address - Zip Code:49720-2086
Mailing Address - Country:US
Mailing Address - Phone:231-547-1255
Mailing Address - Fax:
Practice Address - Street 1:12162 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:CHARLEVOIX
Practice Address - State:MI
Practice Address - Zip Code:49720-2086
Practice Address - Country:US
Practice Address - Phone:231-547-1255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301043812208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty