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Individual

DR. THOMAS ALLEN FELGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-7477
(574) 647-3655
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01022157A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000859525
BCBS BMG E BLAIR WARNER
IN
05
100354520
IN
01
P00439017
RR MEDICARE
IN
Enumeration date
07/06/2006
Last updated
03/08/2016
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