Individual
DONALD ROBERT WESTERHAUSEN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 E DOUGLAS RD STE 309, MISHAWAKA, IN 46545-1467
(574) 335-6900
(574) 335-0854
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01076759A
IN
207R00000X
Internal Medicine Physician
125.063787
IL
207RP1001X
Pulmonary Disease Physician
Primary
01076759A
IN
Other
Enumeration date
03/22/2013
Last updated
08/07/2023
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