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Organization
PRIMARY CARE PARTNERS OF SOUTH BEND
Active
Organization
PRIMARY CARE PARTNERS OF SOUTH BEND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON ZABUKOVIC MD (MANAGING MEMBER)
(574) 274-9425
Entity
Organization
Contact information
Practice address
300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617-3044
(574) 251-1200
(574) 251-1230
Mailing address
300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617-3044
(574) 251-1200
(574) 251-1230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/28/2019
Last updated
07/10/2020
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