Mitchell Daugherty
NPI #1417481540 in South Bend, Indiana
Provider Information
- NPI Number
- 1417481540
- Entity Type
- Individual
- Name
- Mitchell Daugherty
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Apr 14, 2017
- Last Updated
- Jun 20, 2025
Practice Location
- Address
- 1815 E IRELAND RD
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46614-2845
- Phone
- (574) 647-1700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Family Medicine - Sports Medicine — Sports Medicine |
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