# ALLIED PHYSICIANS OF MICHIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALLIED PHYSICIANS OF MICHIANA, LLC
- **Other names:** Northern Indiana Vascualr Institute, Northern Indiana Vascular Institute
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154832178
- **Legal business name:** ALLIED PHYSICIANS OF MICHIANA, LLC
- **Authorized official:** SHERY ROUSSARIE (CEO)
- **Authorized official phone:** (574) 251-2100

## Contact information

- **Practice address:** 611 E DOUGLAS RD STE 308, MISHAWAKA, IN 46545-1465
- **Practice address phone:** (574) 236-1888
- **Mailing address:** 6301 UNIVERSITY COMMONS STE 230, SOUTH BEND, IN 46635-1590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2017
- **Last updated:** 06/16/2018