Organization
PRIMARY CARE PARTNERS OF SOUTH BEND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON ZABUKOVIC MD (MANAGING MEMBER)
(574) 274-9425
Entity
Organization
Contact information
Practice address
300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617-3044
(574) 251-1200
(574) 251-1230
Mailing address
300 S SAINT LOUIS BLVD STE 204, SOUTH BEND, IN 46617-3044
(574) 251-1200
(574) 251-1230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/28/2019
Last updated
07/10/2020
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