Individual
DR. THOMAS MICHAEL CALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 I ST, LAPORTE, IN 46350-5533
(219) 324-1700
(219) 324-1710
Mailing address
3355 DOUGLAS RD, STE. 300, SOUTH BEND, IN 46635-1781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01024034A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100163250
—
IN
Enumeration date
10/05/2005
Last updated
10/07/2008
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