Organization
ALLIED PHYSICIANS OF MICHIANA, LLC
Active
Parent organization
ALLIED PHYSICIANS OF MICHIANA, LLC
Other names
Northern Indiana Vascualr Institute, Northern Indiana Vascular Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIED PHYSICIANS OF MICHIANA, LLC
Authorized official
SHERY ROUSSARIE (CEO)
(574) 251-2100
Entity
Organization
Contact information
Practice address
611 E DOUGLAS RD STE 308, MISHAWAKA, IN 46545-1465
(574) 236-1888
Mailing address
6301 UNIVERSITY COMMONS STE 230, SOUTH BEND, IN 46635-1590
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/17/2017
Last updated
06/16/2018
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