Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Thomas Mark Prose, MD

Individual provider Internal Medicine Physician · NPI 1275648123

Dr. Thomas Mark Prose, MD is an Internal Medicine Physician in Novi, Michigan. Practices as a sole proprietor. Licensed in Florida, Georgia, Idaho and Illinois and 3 more.

Licensed in
FL, GA, ID, IL, MI, MO
In the registry since
2006
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21333 Haggerty Rd Ste 150
Novi, MI 48375-5510
Phone: (248) 662-0250
Fax: (248) 662-9844
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Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 4301046178 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME 91109 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 052622 (GA)
Internal Medicine Physician Taxonomy 207R00000X · Licence M-9253 (ID)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2003003395 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35-07-2106-P (OH)
Internal Medicine Physician Taxonomy 207R00000X (IL)

Record details

NPI number1275648123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address21333 Haggerty Rd, Suite 150, Novi, MI 48375-5510

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