Organization
ALLIED PHYSICIANS OF MICHIANA, LLC
Active
Parent organization
ALLIED PHYSICIANS OF MICHIANA, LLC
Other names
General & Vascular Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIED PHYSICIANS OF MICHIANA, LLC
Authorized official
SHERY A. ROUSSARIE (CEO)
(574) 251-2100
Entity
Organization
Contact information
Practice address
621 MEMORIAL DR, SUITE 302, SOUTH BEND, IN 46601-1063
(574) 236-1888
(574) 236-1887
Mailing address
6301 UNIVERSITY COMMONS, SUITE 230, SOUTH BEND, IN 46635-1571
(574) 251-2100
(574) 251-2150
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200962980G
—
IN
05
—
200962980H
—
IN
05
—
200962980N
—
IN
05
—
200962980V
—
IN
05
—
200962980W
—
IN
Enumeration date
10/06/2009
Last updated
01/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us