THOMAS P VAN DEN DRIESSCHE NPI 1538349956

NPI Information

THOMAS P VAN DEN DRIESSCHE is a family medicine in Fort Wayne, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THOMAS P VAN DEN DRIESSCHE NPI is 1538349956. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3030 LAKE AVE
SUITE 32
FORT WAYNE, IN
ZIP 46805-428
Phone: (260) 424-3134
Fax: (260) 424-3138

The provider's authorized official is Thomas P Van Den Driessche .
The authorized official title is Owner and has the following contact phone number (260) 424-3134.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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