Mishawaka Osteopathic Clinic | |
1207 Lincoln Way West Mishawaka IN 46544 | |
(574) 255-4733 | |
(574) 255-4464 |
Full Name | Mishawaka Osteopathic Clinic |
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Speciality | Family Medicine |
Location | 1207 Lincoln Way West, Mishawaka, Indiana |
Authorized Official Name and Position | Max E Helman (OWNER) |
Authorized Official Contact | 5742554733 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mishawaka Osteopathic Clinic 1207 Lincoln Way West Mishawaka IN 46544 Ph: (574) 255-4733 | Mishawaka Osteopathic Clinic 1207 Lincoln Way West Mishawaka IN 46544 Ph: (574) 255-4733 |
NPI Number | 1336271253 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336271253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02000433 (Indiana) | Primary |
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