Unknown Individual – Obstetrics & Gynecology Physician, NPI 1407840952
Obstetrics & Gynecology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1111, Lighthouse Lane, Plymouth Ave. Professional Park, Goshen, Elkhart County, Indiana, 46526, United States
GOSHEN, IN 465263824
Phone: (574) 533-0348
Fax: (574) 533-0277
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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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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