Organization
ARTHRITIS CARE OF MICHIANA LLC
Active
Other names
ACM
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN J BIRNBAUM M.D. (MEDICAL DOCTOR)
(574) 233-6620
Entity
Organization
Contact information
Practice address
100 NAVARRE PL STE 5570, SOUTH BEND, IN 46601-1169
(574) 246-9161
Mailing address
2813 S TWYCKENHAM DR, SOUTH BEND, IN 46614-1443
(574) 246-9161
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
01039340A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100090199B
—
IN
Enumeration date
02/09/2007
Last updated
06/04/2010
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