Individual
THOMAS L SUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1345 UNITY PL, SUITE 235, LAFAYETTE, IN 47905-5760
(765) 446-5065
(765) 446-5475
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01038278A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200009710
—
IN
Enumeration date
03/24/2006
Last updated
03/20/2021
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