Allied Physicians of Michiana, LLC
Organization Active NPI Vascular Surgery Physician · Mishawaka, IN
NPI 1154832178 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1154832178
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- Legal business name
- ALLIED PHYSICIANS OF MICHIANA, LLC
- Practice address
- 611 E Douglas Rd Ste 308
Mishawaka, IN 46545-1465 - Phone
- (574) 236-1888
- NPI assigned
- Oct 17, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- ALLIED PHYSICIANS OF MICHIANA, LLC
Authorized official
- Name
- Shery Roussarie
- Title
- Ceo
- Phone
- (574) 251-2100
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Allied Physicians of Michiana LLC
- Part of
- Allied Physicians of Michiana LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician |
2086S0129X | Yes |
Addresses
Primary practice location
611 E Douglas Rd Ste 308
Mishawaka, IN 46545-1465
Mailing address
6301 University Commons Ste 230
South Bend, IN 46635-1590
Other names
- Northern Indiana Vascualr Institute
- Northern Indiana Vascular Institute
Other providers in Mishawaka, IN
- Alick'S Home Medical Equipment, Inc
- Adeela Masood Alizai
- Alyssa Renee Allen
- Allied Diagnostics, LLC
- Allied Family Medicine
- Daniel Alvarez Jr.
- Ericka Alvarez
- Amedisys Indiana, L.L.C
- American Health Muscular Therapy Clinic Inc
- Alexandria Anderson
All providers in Mishawaka, IN · Vascular Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.