Organization · Type 2 NPI

Allied Physicians of Michiana, LLC

Urology Physician · South Bend, IN

NPI number 1649505645 Active

Practice location

6301 University Commons, Suite 350
South Bend, IN 46635-1571

Fax (574) 282-1739

Specialties and licenses

Taxonomy	Code	License
Urology Physician Primary	208800000X	None listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

40 other providers at this address

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NPI record

NPI: 1649505645
Entity type: Organization (Type 2)
Issued: Oct 8, 2009
Last updated: Jul 23, 2014
Status: Active
Subpart: Yes of Allied Physicians of Michiana, LLC

Other names

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Urology Associates of South Bend · doing business as

Authorized official

Shery A. 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 1649505645

Allied Physicians of Michiana, LLC's National Provider Identifier is 1649505645, issued on Oct 8, 2009. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in South Bend, IN. The record was last updated on Jul 23, 2014.