Individual provider · NPI-1

Dr. Jack S. Bartoszek, D.O.

Family Medicine, Geriatric Medicine · Mishawaka, IN

NPI number1093714818
StatusActive
Last updated in NPPESSep 20, 2013

Details

NPI
1093714818
Entity type
Individual (NPI-1)
Name
Dr. Jack S. Bartoszek
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2005
Last updated
Sep 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207QG0300X Family Medicine, Geriatric Medicine02001105INYes

Practice location

615 Fulmer Rd
Mishawaka, IN 46544-6911

Phone 574-252-3085 · Fax 574-252-5906

Mailing address

4455 Edison Lakes Pkwy
Unity Medical Surgical Hospital
Mishawaka, IN 46545-1442

Phone 574-252-3085 · Fax 574-252-5906

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