THOMAS DEVERNE BUSSINEAU D.O.
Individual Provider (NPI-1)
Active
Internal Medicine
Provider Information
- NPI Number
1992155055- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN, 466011033
- Phone
- (574) 647-3050
- Fax
- (574) 647-1094
Specialties & Taxonomies
Hospitalist
License: IN #02008147A
Hospitalist
License: MI #5101025254
Internal Medicine
Primary License: IN #02008147A