Organization · Type 2 NPI

Memorial Health System, Inc.

Cardiovascular Disease Physician · South Bend, IN

NPI number 1073554994 Active

Practice location

621 Memorial Dr, Suite 608
South Bend, IN 46601-1063

Fax (574) 232-3526

Mailing address

710 N Niles Ave
South Bend, IN 46617-1924

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X01043726A (IN)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1073554994

Memorial Health System, Inc.'s National Provider Identifier is 1073554994, issued on Jun 10, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in South Bend, IN. The record was last updated on Aug 30, 2016.