Individual
DR. THOMAS HUNTINGTON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 E MAUMEE ST, ANGOLA, IN 46703-2001
(260) 667-5503
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 498-2022
(260) 498-2032
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01060546A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01060546A
INDIANA LICENSE
IN
01
—
01060546B
CSR
IN
01
—
4301053735
PHYSICIAN LICENSE
MI
Enumeration date
06/23/2006
Last updated
05/06/2024
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