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Organization

SOUTH BEND EMERGENCY PHYSICIANS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BLAKESLEY MD (VICE PRESIDENT)
(574) 404-7237
Entity
Organization

Contact information

Practice address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 404-7237
Mailing address
615 N MICHIGAN ST, SOUTH BEND, IN 46601-1033
(574) 404-7237

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
08/03/2018
Last updated
09/23/2024
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