THOMAS P VAN DEN DRIESSCHE

FORT WAYNE, IN
NPI1073507745
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01028709A)
Enumeration Date2005-09-08
Last Update Date2007-11-14
Business Address
-- THOMAS P VAN DEN DRIESSCHE M.D.
3030 LAKE AVE SUITE32
FORT WAYNE, IN 46805-5428
Phone number: 260-424-3134
Mailing Address
-- THOMAS P VAN DEN DRIESSCHE M.D.
3030 LAKE AVE SUITE 32
FORT WAYNE, IN 46805-5428
Phone number: 260-424-3134
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