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Dr. Jack S. Bartoszek, DO
Geriatric Medicine (Family Medicine) Physician in Mishawaka, Indiana
NPI 1093714818

Jack S. Bartoszek is a Geriatric Medicine (Family Medicine) Physician based in Mishawaka, IN and is specialized in Geriatric Medicine. Jack S. Bartoszek practices in Mishawaka, IN and has the professional credentials of DO. The NPI Number for Jack S. Bartoszek is 1093714818 and holds a License No. 02001105 (Indiana).

The current practice location address for Jack S. Bartoszek is 615 Fulmer Rd, Mishawaka, IN and can be reached out via phone at 574-252-3085 and via fax at 574-252-5906.

Location: 615 Fulmer Rd, Mishawaka, IN, 46545-1442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093714818
Provider Name
Jack S. Bartoszek
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
615 Fulmer Rd, Mishawaka, IN, 46545-1442
Phone Number
574-252-3085
Fax Number
574-252-5906
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100335800A 05 IN
OA41009 01 MI BCBSM
000000109340 01 IN ANTHEM NUMBER
institution
Provider Business Practice Location Address Details
Address
615 Fulmer Rd
City
Mishawaka
State
Indiana
Zip
46544-6911
Phone Number
574-252-3085
Fax Number
574-252-5906
person
Provider Business Mailing Address Details
Address
615 Fulmer Rd
City
Mishawaka
State
Indiana
Zip
46544-6911
Phone Number
574-252-3085
Fax Number
574-252-5906
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
02001105 (Indiana)
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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