| Doctor Name: | THOMAS J FISCHBACH |
| NPI Number: | 1780679233 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 01043728 |
| Business Practice Address: | 621 Memorial Dr Suite 312 South Bend, IN - 466011063 |
| Business Phone Number: | 5746475200 |
| Business Fax Number: | 5746475210 |
| Mailing Address: | 53842 Generations Dr, SOUTH BEND |
| State: | IN |
| Postal Code: | 466351543 |
| Phone Number: | 5746471069 |
| Fax Number: | 5746471825 |
| NPI Enumeration Date: | 09/12/2005 |
| NPI Last Update Date: | 06/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 01043728 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |