Individual
MARIA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526
(574) 533-2141
Mailing address
200 HIGH PARK AVE, GOSHEN, IN 46526
(574) 533-2141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
01027231
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01027231
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100467110
—
IN
Enumeration date
10/04/2006
Last updated
10/18/2013
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