Individual
DR. JOSEPH MICHAEL CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4630 VISTULA RD, MISHAWAKA, IN 46544-4000
(574) 647-1900
(574) 647-7289
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
01035309A
IN
207Q00000X
Family Medicine Physician
Primary
01035309A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090740
—
IN
Enumeration date
07/07/2005
Last updated
08/26/2024
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