Individual
KARLA GOULART NEWBOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
5215 HOLY CROSS PKWY, EMERGENCY DEPARTMENT, MISHAWAKA, IN 46545-1469
(574) 335-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01069152A
IN
207P00000X
Emergency Medicine Physician
Primary
4301111525
MI
207Q00000X
Family Medicine Physician
4301111525
MI
207QA0401X
Addiction Medicine (Family Medicine) Physician
4301111525
MI
207R00000X
Internal Medicine Physician
125-053063
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201012560
—
IN
Enumeration date
05/16/2008
Last updated
09/16/2025
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