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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457049900

Thomas J Vismara, MD is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
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

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone: (313) 704-0080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1457049900
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 24, 2023
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

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