# ALLIED FAMILY MEDICINE

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

## Provider details

- **NPI number:** 1184651499
- **Authorized official:** DR. MAUREEN ZIBOH M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (574) 968-2500

## Contact information

- **Practice address:** 314 W CATALPA DR, SUITE A, MISHAWAKA, IN 46545-3194
- **Practice address phone:** (574) 255-1522
- **Practice address fax:** (574) 255-1540
- **Mailing address:** PO BOX 6219, SOUTH BEND, IN 46660-6219
- **Mailing address phone:** (574) 255-1522
- **Mailing address fax:** (574) 255-1540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 09/30/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1184651499 | ANTHEM BLUE CROSS BLUE SHIELD | IN |
| 05 | — | 200542230B | — | IN |