Individual
ROBERT M EINTERZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
(574) 647-7477
(574) 647-3655
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
(574) 237-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01031230A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086815
ANTHEM
IN
05
—
100236210
—
IN
01
—
162520091
MEDIARE PTAN
IN
Enumeration date
04/27/2006
Last updated
09/01/2021
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