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Daniel Rockwell Tom, MSN,FNP
Family Nurse Practitioner in South Bend, Indiana
NPI 1558506667

Daniel Rockwell Tom is a Family Nurse Practitioner based in Granger, IN and is specialized in Family. Daniel Rockwell Tom practices in South Bend, IN and has the professional credentials of MSN,FNP. The NPI Number for Daniel Rockwell Tom is 1558506667 and holds a License No. 71002775A (Indiana).

The current practice location address for Daniel Rockwell Tom is 610 N Michigan St Ste 306, South Bend, IN and can be reached out via phone at 574-647-8120 and via fax at 574-647-8111.

Location: 610 N Michigan St Ste 306, South Bend, IN, 46530-1380
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Provider Profile Details
NPI Number
1558506667
Provider Name
Daniel Rockwell Tom
Credential
MSN,FNP
Provider Entity Type
Individual
Gender
Male
Address
610 N Michigan St Ste 306, South Bend, IN, 46530-1380
Phone Number
574-647-8120
Fax Number
574-647-8111
Provider Enumeration Date
12/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20093130 05 IN
institution
Provider Business Practice Location Address Details
Address
610 N Michigan St Ste 306
City
State
Zip
46601-1079
Phone Number
574-647-8120
Fax Number
574-647-8111
person
Provider Business Mailing Address Details
Address
610 N Michigan St Ste 306
City
State
Zip
46601-1079
Phone Number
574-647-8120
Fax Number
574-647-8111
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71002775A (Indiana)
Definition
Definition to come...
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