Individual
DAVID WILLIAM PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD, SUITE 408, MISHAWAKA, IN 46545-1464
(574) 335-6440
(574) 333-5060
Mailing address
707 E CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
(574) 335-8707
(574) 335-0750
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01072634A
IN
207V00000X
Obstetrics & Gynecology Physician
26704
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101487169
ANTHEM BCBS
IN
05
—
201175110
—
IN
Enumeration date
03/15/2011
Last updated
03/27/2024
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