Individual
DR. KEIM THOMAS HOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 N LAFAYETTE BLVD, SOUTH BEND, IN 46601-1003
(574) 232-2037
(574) 232-1420
Mailing address
515 N LAFAYETTE BLVD, SOUTH BEND, IN 46601-1003
(574) 232-2037
(574) 232-1420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01022611A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220030A
—
IN
Enumeration date
05/20/2006
Last updated
03/04/2010
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