Individual
MEGAN ELIZABETH CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
615 N MICHIGAN ST, 5TH FL, SOUTH BEND, IN 46601-1033
(574) 647-7275
(574) 647-3696
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301500382
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4301500382
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300068660
—
IN
Enumeration date
06/30/2015
Last updated
04/28/2023
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