Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Geoffrey Thane D'Allemand, PA-C

Individual provider Medical Physician Assistant · NPI 1174688600

Mr. Geoffrey Thane D'Allemand, PA-C is a Medical Physician Assistant in Dearborn, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

19401 Hubbard Dr Ste 104
Dearborn, MI 48126-2641
Phone: (313) 982-8151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601001396 (MI)

Record details

NPI number1174688600
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESJuly 8, 2007

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