Individual
THOMAS ALLEN SHEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6036 TRIER RD, FORT WAYNE, IN 46815-5337
(260) 486-0065
(260) 486-3437
Mailing address
6036 TRIER RD, FORT WAYNE, IN 46815-5337
(260) 486-0065
(260) 486-3437
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35038811
OH
Other
Enumeration date
05/15/2008
Last updated
05/15/2008
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