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Lisa Marie Michalski

Nurse Practitioner, Family in Mishawaka, IN. Individual provider (NPI-1).

NPI number1619702040
StatusActive
Last updated in NPPESSep 5, 2024

Details

NPI
1619702040
Entity type
Individual (NPI-1)
Name
Lisa Marie Michalski
Sex
Female
Sole proprietor
No
Enumeration date
Sep 5, 2024
Certification date
Sep 5, 2024
Last updated
Sep 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family2023058906INYes

Practice location

611 E Douglas Rd
Mishawaka, IN 46545-1464

Phone 574-335-6700

Mailing address

925 Potter Point Dr
South Bend, IN 46614-3469

Phone 574-299-3863

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Other Family Nurse Practitioner providers in Mishawaka, IN

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