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Howard Elvindo Wiarda, MD
Vascular & Interventional Radiology Physician in South Bend, Indiana
NPI 1801881255

Howard Elvindo Wiarda is a Vascular & Interventional Radiology Physician based in South Bend, IN and is specialized in Vascular & Interventional Radiology. Howard Elvindo Wiarda practices in South Bend, IN and has the professional credentials of MD. The NPI Number for Howard Elvindo Wiarda is 1801881255 and holds a License No. 01052406 (Indiana).

The current practice location address for Howard Elvindo Wiarda is 100 Navarre Pl Ste 5500, South Bend, IN and can be reached out via phone at 574-647-5200.

Location: 100 Navarre Pl Ste 5500, South Bend, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801881255
Provider Name
Howard Elvindo Wiarda
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Navarre Pl Ste 5500, South Bend, IN, 46617-1924
Phone Number
574-647-5200
Fax Number
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M16930802 01 IN MEDICARE- BMG VEIN SPECIALISTS
200261430 05 IN
M16930802 01 IN MEDICARE- BMG VASCULAR INTERVENTIONAL RADIOLOGY
institution
Provider Business Practice Location Address Details
Address
100 Navarre Pl Ste 5500
City
South Bend
State
Indiana
Zip
46601-1172
Phone Number
574-647-5200
Fax Number
person
Provider Business Mailing Address Details
Address
100 Navarre Pl Ste 5500
City
South Bend
State
Indiana
Zip
46601-1172
Phone Number
574-647-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
01052406 (Indiana)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Therapeutic Radiology
Taxonomy
2085R0203X
License No.
01052406 (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
01052406 (Indiana)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
01052406 (Indiana)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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