DR. Jon Andrew Shull, M.D.
NPI #1013948348 in South Bend, Indiana
Provider Information
- NPI Number
- 1013948348
- Entity Type
- Individual
- Name
- DR. Jon Andrew Shull, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D.
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Oct 28, 2009
Practice Location
- Address
- 1708 HIGH ST
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46613-2633
- Phone
- (574) 647-1400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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