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Organization

MISHAWAKA OSTEOPATHIC CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LAURA L HELMAN DO (OWNER)
(574) 255-4733
Entity
Organization

Contact information

Practice address
1207 LINCOLNWAY W, MISHAWAKA, IN 46544-1709
(574) 255-4733
Mailing address
1207 LINCOLNWAY W, MISHAWAKA, IN 46544-1709
(574) 255-4733

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02002716A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200520670A
IN
Enumeration date
11/01/2011
Last updated
05/17/2012
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