Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS WILLIAM MCGOVERN, M.D.
ActiveObesity Medicine · FORT WAYNE, IN
Registration Details
- NPI Number
- 1982702742
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.585530570915 yrs)
- Last Updated
- Mar 7, 2023
- Licenses
-
01052178A (IN)01052178A (IN)01052178A (IN)
Practice Information
- Address
-
7881 CARNEGIE BLVDFORT WAYNE, IN, 468045792Browse IN providers · Browse ZIP 46804
- Phone
- 2604368000
- Fax
- 2604325587
- Primary Specialty
-
Obesity Medicine
207ND0101X
- Additional Specialty
- Procedural Dermatology
- Additional Specialty
- Obesity Medicine
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.