Individual
CHRISTINA REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 234-8161
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 204-6522
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006411A
IN
207Q00000X
Family Medicine Physician
BP10053717
TX
Other
Enumeration date
08/20/2015
Last updated
07/12/2023
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