# ALLIED PHYSICIANS OF MICHIANA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003048125
- **Authorized official:** MS. SHERY A ROUSSARIE (CEO)
- **Authorized official phone:** (574) 251-2100

## Contact information

- **Practice address:** 6301 UNIVERSITY COMMONS, SUITE 230, SOUTH BEND, IN 46635-1571
- **Practice address phone:** (574) 251-2100
- **Practice address fax:** (574) 251-2150
- **Mailing address:** 6301 UNIVERSITY COMMONS, SUITE 230, SOUTH BEND, IN 46635-1571
- **Mailing address phone:** (574) 251-2100
- **Mailing address fax:** (574) 251-2150

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 08/24/2009
- **Last updated:** 07/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200962980 | — | IN |