Individual
DANIEL ROCKWELL TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, FNP
Contact information
Practice address
610 N MICHIGAN ST STE 306, SOUTH BEND, IN 46601-1079
(574) 647-8120
(574) 647-8111
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002775A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20093130
—
IN
Enumeration date
12/04/2008
Last updated
05/01/2023
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