Organization
ALEXANDER C. GATZIMOS MD JD
Active
Other names
Michiana Adult Medical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER C. GATZIMOS MD, JD (MANAGER)
(574) 249-8663
Entity
Organization
Contact information
Practice address
2050 E IRELAND RD, SOUTH BEND, IN 46614-2909
(574) 222-2359
(574) 222-2365
Mailing address
2050 E IRELAND RD, SOUTH BEND, IN 46614-2909
(574) 222-2359
(574) 222-2365
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
01036818A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D95574
—
IN
Enumeration date
03/21/2013
Last updated
10/01/2013
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