Allied Physicians of Michiana, LLC

NPI #1902200298 in Plymouth, Indiana

Provider Information

NPI Number: 1902200298
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: Durable Medical Equipment & Medical Supplies
Enumeration Date: Oct 15, 2014
Last Updated: Oct 15, 2014

Practice Location

Address: 1919 LAKE AVE
Address 2: SUITE 107B
City: Plymouth
State: Indiana
ZIP Code: 46563-7830
Phone: (574) 540-2500

Authorized Official

Name: SHERY A. ROUSSARIE
Title: CEO
Phone: (574) 251-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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