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Individual

MICHELLE LYNN PEARSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
234 CHAPIN ST STE I, SOUTH BEND, IN 46601-2571
(574) 335-8250
(574) 335-0778
Mailing address
707 E CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
(574) 335-8707
(574) 335-0741

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01057963A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1102532384
ANTHEM BCBS
IN
05
200448620A
IN
Enumeration date
06/15/2006
Last updated
03/27/2024
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