| Mishawaka Osteopathic Clinic | |
|
1207 Lincolnway W Mishawaka IN 46544-1709 | |
| (574) 255-4733 | |
| Not Available |
| Full Name | Mishawaka Osteopathic Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1207 Lincolnway W, Mishawaka, Indiana |
| Authorized Official Name and Position | Laura L Helman (OWNER) |
| Authorized Official Contact | 5742554733 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mishawaka Osteopathic Clinic 1207 Lincolnway W Mishawaka IN 46544-1709 Ph: (574) 255-4733 | Mishawaka Osteopathic Clinic 1207 Lincolnway W Mishawaka IN 46544-1709 Ph: (574) 255-4733 |
| NPI Number | 1932485240 |
|---|---|
| Provider Enumeration Date | 11/01/2011 |
| Last Update Date | 05/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932485240 | NPI | - | NPPES |
| 200520670A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02002716A (Indiana) | Primary |
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