Individual
DR. AMINA MAISOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 W WESTERN AVE STE B, SOUTH BEND, IN 46619-3570
(574) 234-9033
Mailing address
1901 W WESTERN AVE STE B, SOUTH BEND, IN 46619-3570
(574) 234-9033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02006502A
IN
Other
Enumeration date
07/05/2018
Last updated
08/23/2021
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