Thomas P Van Den Driessche, MD
Thomas P Van Den Driessche, MD is a Family Practice in Fort Wayne, Indiana. Graduated from Indiana University School of Medicine in 1978, 48 years ago. Practices with Eventus Ecs, Inc, a 246-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 48
- Trained at
- Indiana University School of Medicine
- Licensed in
- IN
- In the registry since
- 2005
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
3030 Lake Ave SUITE32Fort 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 | 1073507745 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2005 |
| Last updated in NPPES | November 14, 2007 |
| Mailing address | 3030 Lake Ave, Suite 32, Fort Wayne, IN 46805-5428 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1978 (48 years in practice) |
| Group practice | Eventus Ecs, Inc — 246 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
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