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Organization

MICHIANA INTERNAL MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ISRAR AZIM SIDDIQI M.D. (PRESIDENT)
(574) 295-5900
Entity
Organization

Contact information

Practice address
525 W BRISTOL ST, ELKHART, IN 46514-2964
(574) 295-5900
(574) 295-5922
Mailing address
525 W BRISTOL ST, ELKHART, IN 46514-2964
(574) 295-5900
(574) 295-5922

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
50004928A
IN

Other

Enumeration date
03/28/2007
Last updated
01/09/2018
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