Organization
FAMILY MEDICINE OF SOUTH BEND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA S CARDENAS MD (PRESIDENT)
(574) 239-4602
Entity
Organization
Contact information
Practice address
610 N MICHIGAN STREET, SUITE 308, SOUTH BEND, IN 46601
(574) 239-4602
(574) 239-4607
Mailing address
610 N MICHIGAN STREET, SUITE 308, SOUTH BEND, IN 46601
(574) 239-4602
(574) 251-2095
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090560A
—
IN
Enumeration date
09/27/2006
Last updated
07/09/2008
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