Individual
SAMUEL MCGRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 MEMORIAL DR STE 100, SOUTH BEND, IN 46601-1063
(574) 647-1100
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01067945A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200980960
—
IN
Enumeration date
05/10/2007
Last updated
05/01/2023
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