| |
1020 High Rd, Bremen, IN 46506-1093 | |
(574) 546-8044 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 1020 High Rd, Bremen, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1558652347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | 07001058A (Indiana) | Primary |
Mailing Address | Practice Location Address |
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710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610 | 1020 High Rd, Bremen, IN 46506-1093 Ph: (574) 546-8044 |