| Allied Family Medicine | |
|
314 W Catalpa Dr Suite A Mishawaka IN 46545-3194 | |
| (574) 255-1522 | |
| (574) 255-1540 |
| Full Name | Allied Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 314 W Catalpa Dr, Mishawaka, Indiana |
| Authorized Official Name and Position | Maureen Ziboh (OWNER/PRESIDENT) |
| Authorized Official Contact | 5749682500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Family Medicine Po Box 6219 South Bend IN 46660-6219 Ph: (574) 255-1522 | Allied Family Medicine 314 W Catalpa Dr Suite A Mishawaka IN 46545-3194 Ph: (574) 255-1522 |
| NPI Number | 1184651499 |
|---|---|
| Provider Enumeration Date | 06/26/2006 |
| Last Update Date | 09/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184651499 | NPI | - | NPPES |
| 200542230B | Medicaid | IN | |
| 1184651499 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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