person
Kirk Jon Bodach, MD
Family Medicine Physician in South Bend, Indiana
NPI 1306044003

Kirk Jon Bodach is a Family Medicine Physician based in South Bend, IN. Kirk Jon Bodach practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Kirk Jon Bodach is 1306044003 and holds a License No. 01065817A (Indiana).

The current practice location address for Kirk Jon Bodach is 615 N Michigan St Fl 1, South Bend, IN and can be reached out via phone at 574-647-3050 and via fax at 574-647-1094. You can also correspond with Kirk Jon Bodach through the mailing address at 710 N NILES AVE, SOUTH BEND, IN - 46617-1924 (mailing address contact number: 574-647-1610).

Location: 615 N Michigan St Fl 1, South Bend, IN, 46617-1924
person
Provider Profile Details
NPI Number
1306044003
Provider Name
Kirk Jon Bodach
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
615 N Michigan St Fl 1, South Bend, IN, 46617-1924
Phone Number
574-647-3050
Fax Number
574-647-1094
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M400050759 01 IN MEDICARE PTAN
P01050896 01 IN RR MEDICARE
200986910 05 IN
000000720320 01 IN BCBS MEMORIAL HOSPITALIST GROUP
institution
Provider Business Practice Location Address Details
Address
615 N Michigan St Fl 1
City
State
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
574-647-1094
person
Provider Business Mailing Address Details
Address
615 N Michigan St Fl 1
City
State
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
574-647-1094
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
01065817A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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