Individual
DR. ERIC SADEK MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 NAVARRE PL STE 4440, SOUTH BEND, IN 46601-1171
(574) 647-5300
(574) 647-5305
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-6592
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01086145A
IN
207XX0801X
Orthopaedic Trauma Physician
01086145A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300051856
—
IN
Enumeration date
02/08/2012
Last updated
08/02/2024
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