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General NPI Number Information
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NPI Number | 1699739698
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Entity Type | Individual
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Provider Name | ROBERT C. THOMAS JR. MD
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Gender | Male
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1234 NAPIER AVE
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City | SAINT JOSEPH
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State | MI
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Zip | 49085-2112
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Country | US
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Telephone | 269-983-8536
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1742
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City | SOUTH BEND
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State | IN
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Zip | 46634-1742
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Country | US
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Telephone | 574-233-3123
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Fax | 574-233-3125
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01074784A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301070317
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License Number State | MI
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