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Kurtis Dejong, MD
Emergency Medicine Physician in Mishawaka, Indiana
NPI 1184680159

Kurtis Dejong is a Emergency Medicine Physician based in Mishawaka, IN. Kurtis Dejong practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Kurtis Dejong is 1184680159 and holds a License No. 01039621 (Indiana).

The current practice location address for Kurtis Dejong is 5215 Holy Cross Pkwy, Mishawaka, IN and can be reached out via phone at 574-335-5000.

Location: 5215 Holy Cross Pkwy, Mishawaka, IN, 46545-1469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184680159
Provider Name
Kurtis Dejong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5215 Holy Cross Pkwy, Mishawaka, IN, 46545-1469
Phone Number
574-335-5000
Fax Number
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
930102831 01 IN RAIL ROAD MEDICARE
104943838 05 MI
000000190295 01 IN ANTHEM
200022520 05 IN
institution
Provider Business Practice Location Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-5000
Fax Number
person
Provider Business Mailing Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-335-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
01039621 (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
01039621 (Indiana)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
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46545-1469
574-335-5000
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