Individual
DR. JODI CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W EDISON RD, SUITE F, MISHAWAKA, IN 46545-8301
(574) 257-0621
(574) 257-0641
Mailing address
212 W EDISON RD, SUITE F, MISHAWAKA, IN 46545-8301
(574) 257-0621
(574) 257-0641
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01041178A
IN
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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