Search › Indiana › 171M00000X

Tony Fair

NPI 1710812367 · on the registry since 2026

Practice

Address
59930 Myrtle Rd
South Bend, IN 46614
Phone
(574) 409-2455

Registry record

Primary taxonomy
171M00000X
171M00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana