| Plymouth Family Medicine | |
|
1625 Jefferson Ave Mishawaka IN 46545 | |
| (574) 255-1400 | |
| (574) 485-1781 |
| Full Name | Plymouth Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1625 Jefferson Ave, Mishawaka, Indiana |
| Authorized Official Name and Position | Viraj Patel (PHYSICIAN) |
| Authorized Official Contact | 5749363178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plymouth Family Medicine 1904 Lake Ave Plymouth IN 46563-7828 Ph: (574) 936-3178 | Plymouth Family Medicine 1625 Jefferson Ave Mishawaka IN 46545 Ph: (574) 255-1400 |
| NPI Number | 1417265349 |
|---|---|
| Provider Enumeration Date | 09/14/2010 |
| Last Update Date | 09/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417265349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01063921A (Indiana) | Primary |
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