Individual
MARIE E UNRUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 NAVARRE PL STE 5500, SOUTH BEND, IN 46601-1172
(574) 647-5200
(574) 647-5210
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01087297A
IN
2086S0129X
Vascular Surgery Physician
Primary
01087297A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300061912
—
IN
Enumeration date
05/21/2008
Last updated
08/16/2024
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