Individual
DR. PATRICIA ANN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6349 UNIVERSITY COMMONS, SOUTH BEND, IN 46635-1475
(574) 968-7425
(574) 968-0390
Mailing address
6349 UNIVERSITY COMMONS, SOUTH BEND, IN 46635-1475
(574) 968-7425
(574) 968-0390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01033982
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200133350
—
IN
Enumeration date
07/12/2005
Last updated
09/15/2010
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