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Michelle I Cervin -wagner, DO
Family Medicine Physician in South Bend, Indiana
NPI 1891711362

Michelle I Cervin -wagner is a Family Medicine Physician based in Mishawaka, IN. Michelle I Cervin -wagner practices in South Bend, IN and has the professional credentials of DO. The NPI Number for Michelle I Cervin -wagner is 1891711362 and holds a License No. 02001685 (Indiana).

The current practice location address for Michelle I Cervin -wagner is 3371 W Cleveland Road Ext Ste 120, South Bend, IN and can be reached out via phone at 574-218-6700.

Location: 3371 W Cleveland Road Ext Ste 120, South Bend, IN, 46545-1709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891711362
Provider Name
Michelle I Cervin -wagner
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3371 W Cleveland Road Ext Ste 120, South Bend, IN, 46545-1709
Phone Number
574-218-6700
Fax Number
Provider Enumeration Date
07/15/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891711362 05 MI
institution
Provider Business Practice Location Address Details
Address
3371 W Cleveland Road Ext Ste 120
City
South Bend
State
Indiana
Zip
46628-9780
Phone Number
574-218-6700
Fax Number
person
Provider Business Mailing Address Details
Address
3371 W Cleveland Road Ext Ste 120
City
South Bend
State
Indiana
Zip
46628-9780
Phone Number
574-218-6700
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
02001685 (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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