Organization
DEL PILAR MEDICAL & URGENT CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE SLUSSER (CEO)
(574) 271-0268
Entity
Organization
Contact information
Practice address
270 E DAY RD STE 280, MISHAWAKA, IN 46545-3452
(574) 271-0268
(574) 271-0395
Mailing address
270 E DAY RD STE 280, MISHAWAKA, IN 46545-3452
(574) 271-0268
(574) 271-0395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
02001173
IN
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
02001173A
IN
208000000X
Pediatrics Physician
02001173
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000104315
ANTHEM BCBS GROUP NUMBER
IN
05
—
100092300
—
IN
05
—
200332960
—
IN
Enumeration date
10/24/2006
Last updated
03/28/2022
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