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Individual

DR. MARY REGINA FEEKS LACOURSIERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
615 N MICHIGAN ST 5TH FL, SOUTH BEND, IN 46601-1033
(574) 647-7275
(574) 647-3696
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
02007852A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300093262
IN
Enumeration date
06/07/2018
Last updated
08/30/2024
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