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Michael J Star
Neurology Physician in South Bend, Indiana
NPI 1417246018

Michael J Star is a Neurology Physician based in Granger, IN and is specialized in Neurology. Michael J Star practices in South Bend, IN. The NPI Number for Michael J Star is 1417246018 and holds a License No. (Indiana).

The current practice location address for Michael J Star is 615 N Michigan St, South Bend, IN and can be reached out via phone at 574-647-3050 and via fax at 574-647-1094.

Location: 615 N Michigan St, South Bend, IN, 46530-3245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417246018
Provider Name
Michael J Star
Credential
Provider Entity Type
Individual
Gender
Male
Address
615 N Michigan St, South Bend, IN, 46530-3245
Phone Number
574-647-3050
Fax Number
574-647-1094
Provider Enumeration Date
04/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300055663 05 IN
institution
Provider Business Practice Location Address Details
Address
615 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
574-647-1094
person
Provider Business Mailing Address Details
Address
615 N Michigan St
City
South Bend
State
Indiana
Zip
46601-1033
Phone Number
574-647-3050
Fax Number
574-647-1094
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
01075143A (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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