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PROSE, THOMAS MARK       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: GENERAL MEDICINE PC
21333 HAGGERTY ROAD
SUITE 150
NOVI MI 48375

Address last updated on 11/21/2017
Phone #: (248) 662-0250
Fax #: (248) 662-9845
County: NOT OKLAHOMA
License: 24155
Dated: 1/21/2005
Expires: 1/1/2018
License Type: Medical Doctor
Specialty: Family Medicine
Status: Inactive
Status Class: Physician Emeritus
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Mi Med Sch, Ann Arbor Mi 48109
Graduated: 5 / 1982
CME Year: 2020
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications:
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
GENERAL MEDICINE PC
21333 HAGGERTY ROAD
SUITE 150
NOVI MI 48375

Phone #: (248) 662-0250
Fax #: (248) 662-9845
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:

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