Individual
DR. BRUCE J THOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-5303
Mailing address
601 GATEWAY BLVD N, CHESTERTON, IN 46304-9658
(219) 921-1444
(219) 921-5303
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01031286A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085760
—
IN
Enumeration date
07/11/2005
Last updated
08/07/2014
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