Individual
COLLEEN MISMAS-HOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-1000
Mailing address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 647-1000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01096418A
IN
390200000X
Student in an Organized Health Care Education/Training Program
4351046176
MI
Other
Enumeration date
06/19/2020
Last updated
07/07/2025
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