Individual
DR. THOMAS D DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 ROOSEVELT RD, STE 5, VALPARAISO, IN 46383-2800
(219) 464-2123
(219) 465-0032
Mailing address
2000 ROOSEVELT RD, STE 5, VALPARAISO, IN 46383-2800
(219) 464-2123
(219) 465-0032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01054517A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200148470
—
IN
05
—
200148470A
—
IN
Enumeration date
06/10/2005
Last updated
03/30/2011
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