Provider Demographics
NPI:1598882383
Name:SEVIER, THOMAS L (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:L
Last Name:SEVIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:400 N HIGH ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47305-1646
Mailing Address - Country:US
Mailing Address - Phone:765-751-2341
Mailing Address - Fax:765-751-2170
Practice Address - Street 1:400 N HIGH ST
Practice Address - Street 2:SUITE 320
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47305-1646
Practice Address - Country:US
Practice Address - Phone:765-751-2341
Practice Address - Fax:765-751-2170
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01036863A204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine