Allied Physicians of Michiana, LLC
NPI #1114259074 in South Bend, Indiana
Provider Information
- NPI Number
- 1114259074
- Entity Type
- Organization
- Organization Name
- Allied Physicians of Michiana, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ALLIED PHYSICIANS OF MICHIANA, LLC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Feb 3, 2010
- Last Updated
- Aug 1, 2014
Practice Location
- Address
- 6301 UNIVERSITY COMMONS
- Address 2
- SUITE 320
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46635-1571
- Phone
- (574) 271-7337
Authorized Official
- Name
- SHERY ROUSSARIE
- Title
- CEO
- Phone
- (574) 251-2100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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| Alicia Marie Wilson, D.O. |
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