Organization
THE CENTRE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAIN R DOWNS (EXECUTIVE DIRECTOR)
(574) 968-3515
Entity
Organization
Contact information
Practice address
611 E DOUGLAS RD STE 108, MISHAWAKA, IN 46545-1464
(574) 968-3515
(574) 243-1141
Mailing address
611 E DOUGLAS RD STE 108, MISHAWAKA, IN 46545-1464
(574) 296-9100
(574) 243-1141
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/09/2006
Last updated
08/26/2021
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