Individual provider · Type 1 NPI

Gregory Andrianov, MD

Student in an Organized Health Care Education/Training Program · Mishawaka, IN

NPI number 1285484469 Active

Practice location

Family Medicine Center 611 E Douglas Rd Ste 407
Mishawaka, IN 46545-1468

Call (574) 335-6500 Map

Mailing address

611 E Douglas Rd Ste 407
Mishawaka, IN 46545-1468

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1285484469

Gregory Andrianov, MD's National Provider Identifier is 1285484469, issued on Mar 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mishawaka, IN. The record was last updated on Mar 22, 2024.