Individual
RANDALL J BJORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD STE 305, MISHAWAKA, IN 46545-1467
(574) 335-6450
(574) 335-0643
Mailing address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-8707
(574) 335-0760
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
29018
CO
2084N0400X
Neurology Physician
Primary
MD60987866
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01290188
—
CO
Enumeration date
08/11/2005
Last updated
01/13/2026
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