Mini Sra

NPI #1003122003 in Mishawaka, Indiana

Provider Information

NPI Number
1003122003
Entity Type
Individual
Name
Mini Sra
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Enumeration Date
Aug 27, 2010
Last Updated
Nov 3, 2016

Practice Location

Address
5215 HOLY CROSS PKWY
State
Indiana
ZIP Code
46545-1469
Phone
(574) 335-2521

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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