Organization
SIR CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY J STOLLER MD (PARTNER)
(574) 291-2273
Entity
Organization
Contact information
Practice address
18444 MADISON RD, SOUTH BEND, IN 46614-9799
(574) 291-2273
(574) 291-6774
Mailing address
18444 MADISON RD, SOUTH BEND, IN 46614-9799
(574) 291-2273
(574) 291-6774
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
01021580A
IN
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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