Individual
ERIC TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5215 HOLY CROSS PARKWAY, MISHAWAKA, IN 46545
(574) 335-5000
(574) 335-0760
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8172
(269) 985-4535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01040707
IN
208M00000X
Hospitalist Physician
Primary
4301102003
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000334836
BCBS
IN
01
—
000000687861
BCBS
IN
05
—
100328400
—
IN
05
—
100328400H
—
IN
Enumeration date
06/12/2006
Last updated
01/23/2018
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