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Thomas W. Herendeen, MD
Otolaryngology/Facial Plastic Surgery Physician in Fort Wayne, Indiana
NPI 1356333272

Thomas W. Herendeen is a Otolaryngology/Facial Plastic Surgery Physician based in Fort Wayne, IN and is specialized in Otolaryngology/Facial Plastic Surgery. Thomas W. Herendeen practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Thomas W. Herendeen is 1356333272 and holds a License No. 01041576A (Indiana).

The current practice location address for Thomas W. Herendeen is 10021 Dupont Circle Ct, Fort Wayne, IN and can be reached out via phone at 260-426-8117 and via fax at 260-420-0817. You can also correspond with Thomas W. Herendeen through the mailing address at 10021 DUPONT CIRCLE CT, FORT WAYNE, IN - 46825-1604 (mailing address contact number: 260-426-8117).

Location: 10021 Dupont Circle Ct, Fort Wayne, IN, 46825-1604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356333272
Provider Name
Thomas W. Herendeen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10021 Dupont Circle Ct, Fort Wayne, IN, 46825-1604
Phone Number
260-426-8117
Fax Number
260-420-0817
Provider Enumeration Date
08/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200163210 05 IN
2067043 05 OH
institution
Provider Business Practice Location Address Details
Address
10021 Dupont Circle Ct
City
Fort Wayne
State
Indiana
Zip
46825-1604
Phone Number
260-426-8117
Fax Number
260-420-0817
person
Provider Business Mailing Address Details
Address
10021 Dupont Circle Ct
City
Fort Wayne
State
Indiana
Zip
46825-1604
Phone Number
260-426-8117
Fax Number
260-420-0817
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
207YX0905X
License No.
01041576A (Indiana)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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