Unknown Individual – Surgery Physician, NPI 1871587295
Surgery Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2006, South Main Street, Historic Racemere Peninsula, Goshen, Elkhart County, Indiana, 46526, United States
SUITE A
GOSHEN, IN 465265232
Phone: (574) 535-9100
Fax: (574) 535-1020
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46526)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Physician Assistant | IN | |
| General Surgery | IN | |
| Nurse Practitioner | IN | |
| General Surgery | IN | |
| General Surgery | IN | |
| General Surgery | IN | |
| - | IN |
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