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Dr. Mark A Muckway, MD
Neurology Physician in Mishawaka, Indiana
NPI 1265521652

Mark A Muckway is a Neurology Physician based in South Bend, IN and is specialized in Neurology. Mark A Muckway practices in Mishawaka, IN and has the professional credentials of MD. The NPI Number for Mark A Muckway is 1265521652 and holds a License No. 01039796A (Indiana).

The current practice location address for Mark A Muckway is 611 E Douglas Rd Ste 305, Mishawaka, IN and can be reached out via phone at 574-335-6450 and via fax at 574-335-0643.

Location: 611 E Douglas Rd Ste 305, Mishawaka, IN, 46617-2059
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265521652
Provider Name
Mark A Muckway
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd Ste 305, Mishawaka, IN, 46617-2059
Phone Number
574-335-6450
Fax Number
574-335-0643
Provider Enumeration Date
10/12/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1102409327 01 IN ANTHEM
200020160 05 IN
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 305
City
Mishawaka
State
Indiana
Zip
46545-1467
Phone Number
574-335-6450
Fax Number
574-335-0643
person
Provider Business Mailing Address Details
Address
611 E Douglas Rd Ste 305
City
Mishawaka
State
Indiana
Zip
46545-1467
Phone Number
574-335-6450
Fax Number
574-335-0643
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
01039796A (Indiana)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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