Individual
JUSTIN R. SCHWALBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
Mailing address
1540 TRINITY PL, MISHAWAKA, IN 46545-5006
(574) 272-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01074578A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201252720
—
IN
Enumeration date
06/03/2011
Last updated
09/25/2023
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