Individual
DR. THOMAS A SOISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 233-7337
(574) 239-1561
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 233-7337
(574) 239-1561
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01039666A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103180
—
IN
Enumeration date
10/28/2005
Last updated
08/03/2016
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