Mids, Llc | |
3838 N Main St Ste 1c Mishawaka IN 46545-3100 | |
(574) 404-3980 | |
(574) 931-8601 |
Full Name | Mids, Llc |
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Speciality | Internal Medicine |
Location | 3838 N Main St Ste 1c, Mishawaka, Indiana |
Authorized Official Name and Position | Lloyd Schulman (OFFICE MANAGER) |
Authorized Official Contact | 5742866802 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mids, Llc 3838 N Main St Ste 1c Mishawaka IN 46545-3100 Ph: (574) 404-3980 | Mids, Llc 3838 N Main St Ste 1c Mishawaka IN 46545-3100 Ph: (574) 404-3980 |
NPI Number | 1366097016 |
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Provider Enumeration Date | 08/08/2019 |
Last Update Date | 08/08/2019 |
Medicare PECOS PAC ID | 4688904501 |
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Medicare Enrollment ID | O20190919001012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366097016 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Aerie Kyung Chung |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1992960850 PECOS PAC ID: 5991939415 Enrollment ID: I20131015002195 |
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