Organization · Type 2 NPI
Privia Medical Group Indiana, LLC
Multi-Specialty Clinic/Center · Mishawaka, IN
NPI number
1235303165
Active
Practice location
410 Park Pl, Suite B
Mishawaka, IN 46545-3557
Fax (574) 855-5805
Mailing address
PO Box 2968
Elkhart, IN 46515-2968
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
Other multi-specialty clinic/center providers in Mishawaka
About NPI 1235303165
Privia Medical Group Indiana, LLC's National Provider Identifier is 1235303165, issued on Apr 22, 2008. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Mishawaka, IN. The record was last updated on May 12, 2025.