Individual
MARGARET ANN QUATE-OPERACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3665 PARK PL W, SUITE 300, MISHAWAKA, IN 46545-3566
(574) 607-4724
(574) 607-4725
Mailing address
3665 PARK PL W, SUITE 300, MISHAWAKA, IN 46545-3566
(574) 607-4724
(574) 607-4725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01063507A
IN
207RN0300X
Nephrology Physician
01063507A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000696783
BCBS
IN
05
—
200862790
—
IN
Enumeration date
10/17/2006
Last updated
12/06/2012
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