Individual
THOMAS DEVERNE BUSSINEAU
Active
Individual
THOMAS DEVERNE BUSSINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02008147A
IN
208M00000X
Hospitalist Physician
02008147A
IN
208M00000X
Hospitalist Physician
5101025254
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300100592
—
IN
Enumeration date
06/20/2016
Last updated
03/30/2026
Update your record
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