Individual
DR. SARA BAJUYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 W EDISON RD STE 132, MISHAWAKA, IN 46545-2784
(574) 369-6393
(574) 261-3129
Mailing address
620 W EDISON RD STE 132, MISHAWAKA, IN 46545-2784
(574) 369-6393
(574) 261-3129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01060961A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146470D8
MEDICARE NUMBER
IN
05
—
200827990
—
IN
Enumeration date
07/07/2006
Last updated
02/20/2025
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