Individual
MARC OUDGHIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
211 N EDDY ST., SOUTH BEND, IN 46617-3096
(574) 237-9200
(574) 237-9383
Mailing address
211 N EDDY ST., SOUTH BEND, IN 46617-3096
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28189233A
IN
Other
Enumeration date
04/01/2016
Last updated
10/04/2016
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