Individual
DR. PAUL HERMAN DESMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 204-6440
(574) 239-1435
Mailing address
6301 UNIVERSITY COMMONS STE 230, SOUTH BEND, IN 46635-1590
(574) 251-2115
(574) 251-2150
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01052725A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200296480
—
IN
Enumeration date
09/21/2006
Last updated
07/10/2024
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