Organization · NPI-2

Allied Family Medicine

Family Medicine · Mishawaka, IN

NPI number1184651499
StatusActive
Last updated in NPPESSep 30, 2011

Details

NPI
1184651499
Entity type
Organization (NPI-2)
Legal business name
Allied Family Medicine
Organization subpart
No
Enumeration date
Jun 26, 2006
Last updated
Sep 30, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

314 W Catalpa Dr
Suite A
Mishawaka, IN 46545-3194

Phone 574-255-1522 · Fax 574-255-1540

Mailing address

Po Box 6219
South Bend, IN 46660-6219

Phone 574-255-1522 · Fax 574-255-1540

Authorized official

Maureen Ziboh
Owner/President
5749682500

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