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Michiana Neurologic Medicine, Pc
Neurology Physician in Mishawaka, Indiana
NPI 1336414499

Michiana Neurologic Medicine, Pc is a Neurology Physician based in Mishawaka, IN and is specialized in Neurology. Michiana Neurologic Medicine, Pc practices in Mishawaka, IN. The NPI Number for Michiana Neurologic Medicine, Pc is 1336414499 and holds a License No. 01037448A (Indiana).

The current practice location address for Michiana Neurologic Medicine, Pc is 229 Red Coach Dr Ste 105, Mishawaka, IN and can be reached out via phone at 574-252-7795 and via fax at 574-252-7796.

Location: 229 Red Coach Dr Ste 105, Mishawaka, IN, 46545-3195
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336414499
Provider Name
Michiana Neurologic Medicine, Pc
Credential
Provider Entity Type
Organization
Address
229 Red Coach Dr Ste 105, Mishawaka, IN, 46545-3195
Phone Number
574-252-7795
Fax Number
574-252-7796
Provider Enumeration Date
03/21/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100179640 05 IN
institution
Provider Business Practice Location Address Details
Address
229 Red Coach Dr Ste 105
City
Mishawaka
State
Indiana
Zip
46545-3195
Phone Number
574-252-7795
Fax Number
574-252-7796
person
Provider Business Mailing Address Details
Address
229 Red Coach Dr Ste 105
City
Mishawaka
State
Indiana
Zip
46545-3195
Phone Number
574-252-7795
Fax Number
574-252-7796
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
01037448A (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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