IndividualActive
Thomas Poulin, MD
NPI 1497732556 · Vascular Surgery Physician · South Bend, IN
Provider details
- NPI number
- 1497732556
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 01023972A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 Navarre Pl Ste 5500
South Bend, IN 46601-1172
Phone: (574) 647-5200
Approximate (ZIP-level) locationGet directions
Mailing address
710 N Niles Ave
South Bend, IN 46617-1924
Registry dates
- Enumerated
- 2005-12-29
- Last updated
- 2021-03-31
- Certified
- 2021-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.