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Individual

CHRISTINE MARSCH O'MALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
620 W EDISON RD, SUITE 110, MISHAWAKA, IN 46545-2784
(574) 258-1100
(574) 258-1101
Mailing address
620 W EDISON RD, SUITE 110, MISHAWAKA, IN 46545-2784
(574) 258-1100
(574) 258-1101

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
01063309A
IN
2085N0700X
Neuroradiology Physician
01063309A
IN
2085N0904X
Nuclear Radiology Physician
01063309A
IN
2085P0229X
Pediatric Radiology Physician
01063309A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
01063309A
IN
2085R0203X
Therapeutic Radiology Physician
01063309A
IN
2085R0204X
Vascular & Interventional Radiology Physician
01063309A
IN
2085U0001X
Diagnostic Ultrasound Physician
01063309A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200855150
IN
Enumeration date
01/22/2007
Last updated
09/21/2009
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