Organization · Type 2 NPI

Michiana Hematology-Oncology P C

Hematology & Oncology Physician · Mishawaka, IN

NPI number 1124303466 Active

Practice location

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470

Call (800) 860-8100 Map

Fax (574) 237-1328

Mailing address

3975 William Richardson Dr
South Bend, IN 46628-9800

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X50002882A (IN)
Radiation Oncology Physician 2085R0001X50002882A (IN)
Non-Pharmacy Dispensing Site 332900000X50002882A (IN)
Durable Medical Equipment & Medical Supplies 332B00000X50002882A (IN)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

20 other providers at this address

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About NPI 1124303466

Michiana Hematology-Oncology P C's National Provider Identifier is 1124303466, issued on Oct 19, 2011. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Mishawaka, IN. The record was last updated on Jul 2, 2026.