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Thomas P Bathrick DO, PC

Internal Medicine, Critical Care Medicine in South Bend, IN. Organization (NPI-2).

NPI number1508048752
StatusActive
Last updated in NPPESOct 18, 2013

Details

NPI
1508048752
Entity type
Organization (NPI-2)
Legal business name
Thomas P Bathrick DO, PC
Organization subpart
No
Enumeration date
Nov 29, 2007
Last updated
Oct 18, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care Medicine02000736aINYes

Other names

  • Thomas P Bathrick DO, PC (Doing Business As)

Practice location

1432 Lincoln Way E
South Bend, IN 46613-3205

Phone 574-234-0851 · Fax 574-234-7072

Mailing address

1432 Lincoln Way E
South Bend, IN 46613-3205

Phone 574-234-0851 · Fax 574-234-7072

Authorized official

Thomas P Bathrick
Owner
5742340851

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