THOMAS WAITES

MISHAWAKA, IN
NPI1154181527
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-21
Last Update Date2024-03-21
Business Address
THOMAS WAITES DO
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545-1468
Phone number: 574-335-6500
Mailing Address
THOMAS WAITES DO
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545-1468
Phone number: 574-335-6500
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