Organization
THOMAS P BATHRICK DO, PC
Active
Other names
THOMAS P BATHRICK DO, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS P BATHRICK D.O. (OWNER)
(574) 234-0851
Entity
Organization
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
Enumeration date
11/29/2007
Last updated
10/18/2013
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