Individual
DR. PATRICK J VISCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 E DOUGLAS RD STE 108, MISHAWAKA, IN 46545-1464
(574) 968-9100
(574) 968-3517
Mailing address
611 E DOUGLAS RD, #108, MISHAWAKA, IN 46545-1464
(574) 968-9100
(574) 968-3517
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
01048709A
IN
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
01048709A
IN
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
01048709A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200168380
—
IN
Enumeration date
06/30/2005
Last updated
08/08/2023
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