Individual
DR. THOMAS P SEASLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 NORTH PORTAGE AVENUE, SOUTH BEND, IN 46628-9570
(574) 204-6200
(574) 239-1520
Mailing address
4440 NORTH PORTAGE AVENUE, SOUTH BEND, IN 46628-9570
(574) 204-6200
(574) 239-1520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037180A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090980
—
IN
Enumeration date
10/26/2005
Last updated
08/03/2016
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