Individual
SCOTT G THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 MEMORIAL DR, SUITE 502, SOUTH BEND, IN 46601-1075
(574) 647-5875
(574) 647-5878
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3245
(574) 647-1840
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01037023A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100338820
—
IN
Enumeration date
12/29/2005
Last updated
10/11/2023
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