Organization · Type 2 NPI

Allied Physicians of Michiana, LLC

Vascular Surgery Physician · Mishawaka, IN

NPI number 1154832178 Active

Practice location

611 E Douglas Rd Ste 308
Mishawaka, IN 46545-1465

Call (574) 236-1888 Map

Mailing address

6301 University Commons Ste 230
South Bend, IN 46635-1590

Specialties and licenses

Taxonomy	Code	License
Vascular Surgery Physician Primary	2086S0129X	None listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

NPI record

NPI: 1154832178
Entity type: Organization (Type 2)
Issued: Oct 17, 2017
Last updated: Jun 16, 2018
Status: Active
Subpart: Yes of Allied Physicians of Michiana, LLC

Other names

<unavail>
Northern Indiana Vascualr Institute · doing business as
Northern Indiana Vascular Institute · doing business as

Authorized official

Shery Roussarie
CEO
(574) 251-2100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154832178

Allied Physicians of Michiana, LLC's National Provider Identifier is 1154832178, issued on Oct 17, 2017. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Mishawaka, IN. The record was last updated on Jun 16, 2018.