Individual
THOMAS J MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, SUITE 5100, FORT WAYNE, IN 46845-1730
(260) 266-2800
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001595A
IN
363AS0400X
Surgical Physician Assistant
10001595A
IN
Other
Enumeration date
10/23/2013
Last updated
10/03/2022
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