Thomas P Van Den Driessche
Thomas P Van Den Driessche is a Family Medicine Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
Practice location Address checks out
3030 Lake Ave Ste 32Fort Wayne, IN 46805-5428
Phone: (260) 424-3134
Fax: (260) 424-3138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 01028709A (IN) |
|---|
Record details
| NPI number | 1538349956 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Van Den Driessche — Owner · (260) 424-3134 |
| NPI enumerated | November 14, 2007 |
| Last updated in NPPES | November 14, 2007 |
| Mailing address | 3030 Lake Ave, Suite 32, Fort Wayne, IN 46805-5428 |
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