Provider Demographics
NPI:1699038463
Name:THOMAS, JARED (MD)
Entity Type:Individual
Prefix:
First Name:JARED
Middle Name:
Last Name:THOMAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:24 FRANK LLOYD WRIGHT DR
Mailing Address - Street 2:LOBBY J2000
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105
Mailing Address - Country:US
Mailing Address - Phone:734-232-6343
Mailing Address - Fax:734-647-3125
Practice Address - Street 1:5315 ELLIOT DR
Practice Address - Street 2:SUITE 301
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197
Practice Address - Country:US
Practice Address - Phone:734-572-4500
Practice Address - Fax:734-572-4503
Is Sole Proprietor?:No
Enumeration Date:2012-06-18
Last Update Date:2019-03-22
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Provider Licenses
StateLicense IDTaxonomies
MI4301101183207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery