Individual
JUSTIN LEUGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 CHAPIN ST STE I, SOUTH BEND, IN 46601-2571
(574) 335-8250
(574) 335-0778
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082149A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201376730
—
IN
Enumeration date
06/03/2016
Last updated
07/10/2023
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