Individual
THOMAS ANTHONY PECHIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
450 E COUNTRY LN, SHIPSHEWANA, IN 46565-8568
(260) 768-4141
(260) 768-7295
Mailing address
450 E COUNTRY LN, SHIPSHEWANA, IN 46565-8568
(260) 768-4141
(260) 768-7295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01033810
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
01033810
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100359970
—
IN
Enumeration date
01/30/2006
Last updated
03/18/2024
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