Basic Information
| Provider Information | |||||||||
| NPI: | 1578500567 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOUCHSTONE | ||||||||
| FirstName: | TONYA | ||||||||
| MiddleName: | JON | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3800 WOODWARD AVE | ||||||||
| Address2: | SUITE 600 | ||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 482012061 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3132621490 | ||||||||
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| Practice Location | |||||||||
| Address1: | CHILDRENS HOSPITAL MI EMERGENCY MED | ||||||||
| Address2: | 3901 BEAUBIEN ER DEPT - MAIN BUILDING | ||||||||
| City: | DETROIT | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3137455260 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/31/2006 | ||||||||
| LastUpdateDate: | 11/26/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 4301072602 | MI | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.