Full Name | |
---|---|
Speciality | Family Medicine |
Location | 615 Fulmer Rd, Mishawaka, Indiana |
Authorized Official Name and Position | James Flynn (CEO) |
Authorized Official Contact | 5742316800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
4455 Edison Lakes Pkwy Mishawaka IN 46545-1442 Ph: (574) 231-6800 | 615 Fulmer Rd Mishawaka IN 46544 Ph: (574) 252-3085 |
NPI Number | 1639480643 |
---|---|
Provider Enumeration Date | 06/24/2010 |
Last Update Date | 07/17/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639480643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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