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Dr. Alexander Marcus Tawadros, MD

Radiology, Diagnostic Radiology in Mishawaka, IN. Individual provider (NPI-1).

NPI number1861694556
StatusActive
Last updated in NPPESJul 22, 2013

Details

NPI
1861694556
Entity type
Individual (NPI-1)
Name
Dr. Alexander Marcus Tawadros
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 4, 2007
Last updated
Jul 22, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology01072421INYes
390200000X Student in an Organized Health Care Education/Training Program4301090011MI

Practice location

620 W Edison Rd
Ste 110
Mishawaka, IN 46545-2784

Phone 574-258-1100 · Fax 574-258-1101

Mailing address

620 W Edison Rd
Ste 110
Mishawaka, IN 46545-2784

Phone 574-258-1100 · Fax 574-258-1101

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