Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS W. HERENDEEN, MD
ActiveTHOMAS W. HERENDEEN, MD is a Facial Plastic Surgery healthcare provider located in FORT WAYNE, Indiana. NPI 1356333272 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · FORT WAYNE, IN
Registration Details
- NPI Number
- 1356333272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2005 (21.000065366949 yrs)
- Last Updated
- Jun 20, 2016
- License
-
01041576A (IN)
Practice Information
- Address
-
10021 DUPONT CIRCLE CTFORT WAYNE, IN, 468251604Browse IN providers · Browse ZIP 46825
- Phone
- 2604268117
- Fax
- 2604200817
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.