Individual
JOHN H MAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1700
(574) 647-7572
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01038212A
IN
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01038212A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300013114
—
IN
Enumeration date
11/16/2005
Last updated
04/04/2024
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