Organization · Type 2 NPI
Privia Medical Group Indiana, LLC
Multi-Specialty Clinic/Center · Mishawaka, IN
NPI number
1851497945
Active
Practice location
410 Park Pl Ste A
Mishawaka, IN 46545-3557
Fax (574) 807-8845
Mailing address
410 Park Pl, Suite A
Mishawaka, IN 46545-3557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| 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 1851497945
Privia Medical Group Indiana, LLC's National Provider Identifier is 1851497945, issued on Sep 15, 2006. 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.