NPI 1114956497

Thomas R. Keucher, MD

Practitioner Specialist South Bend, IN

Practice location

Address: 100 Navarre Pl Suite 6600, South Bend, IN 46601-1156
Phone: (574) 232-7227
Fax: (574) 232-2064

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 01024403A (IN)

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Neurological Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 01024403A (IN)

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Registry record

NPI: 1114956497
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2006
Record last updated: 14 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.