Individual
DR. THOMAS PALMER BATHRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1432 LINCOLN WAY E, SOUTH BEND, IN 46613-3205
(574) 234-0851
(574) 234-7072
Mailing address
1432 LINCOLN WAY E, SOUTH BEND, IN 46613-3205
(574) 234-0851
(574) 234-7072
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
02000736A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100139490
—
IN
Enumeration date
08/13/2006
Last updated
12/04/2007
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