The South Bend Clinic, LLC

NPI #1487307492 in South Bend, Indiana

Provider Information

NPI Number: 1487307492
Entity Type: Organization
Organization Name: The South Bend Clinic, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jan 31, 2022
Last Updated: Mar 7, 2022

Practice Location

Address: 211 N EDDY ST
City: South Bend
State: Indiana
ZIP Code: 46617-3096
Phone: (574) 239-1567

Authorized Official

Name: KELLY MACKEN-MARBLE
Title: CEO
Phone: (574) 239-1567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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