Plymouth Family Medicine | |
1625 Jefferson Ave Mishawaka IN 46545 | |
(574) 255-1400 | |
(574) 485-1781 |
Full Name | Plymouth Family Medicine |
---|---|
Speciality | Family Medicine |
Location | 1625 Jefferson Ave, Mishawaka, Indiana |
Authorized Official Name and Position | Viraj Patel (PHYSICIAN) |
Authorized Official Contact | 5749363178 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Plymouth Family Medicine 1904 Lake Ave Plymouth IN 46563-7828 Ph: (574) 936-3178 | Plymouth Family Medicine 1625 Jefferson Ave Mishawaka IN 46545 Ph: (574) 255-1400 |
NPI Number | 1417265349 |
---|---|
Provider Enumeration Date | 09/14/2010 |
Last Update Date | 09/14/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417265349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01063921A (Indiana) | Primary |
News Archive
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