Organization · Type 2 NPI

Saint Joseph Regional Medical Center-South Bend Campus, Inc.

Family Medicine Physician · Mishawaka, IN

NPI number 1144580150 Active

Practice location

611 E Douglas Rd, Ste 406, Family Medicine Faculty Physicians
Mishawaka, IN 46545-1468

Fax (574) 335-0818

Mailing address

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed
Maternal & Fetal Medicine Physician 207VM0101XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1144580150

Saint Joseph Regional Medical Center-South Bend Campus, Inc.'s National Provider Identifier is 1144580150, issued on May 23, 2012. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Mishawaka, IN. The record was last updated on Mar 9, 2026.