Organization
PATEL FAMILYMEDICINE
Active
Parent organization
UNITED SURGEONS LLC
Other names
PLYMOUTH FAMILY MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNITED SURGEONS LLC
Authorized official
VIRAJ PATEL M.D. (PHYSICIAN)
(574) 936-3178
Entity
Organization
Contact information
Practice address
1625 JEFFERSON AVE, MISHAWAKA, IN 46545
(574) 255-1400
(574) 485-1781
Mailing address
1904 LAKE AVE, PLYMOUTH, IN 46563-7828
(574) 936-3178
(574) 936-1084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01063921A
IN
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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