| Medi Weight Loss Mishawaka | |
|
7225 Heritage Square Dr Ste 240 Granger IN 46530-5646 | |
| (574) 369-9102 | |
| Not Available |
| Full Name | Medi Weight Loss Mishawaka |
|---|---|
| Speciality | General Practice |
| Location | 7225 Heritage Square Dr Ste 240, Granger, Indiana |
| Authorized Official Name and Position | Joshua M Lederer (PARTNER) |
| Authorized Official Contact | 5743699102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medi Weight Loss Mishawaka 54863 Northbridge West Ct Osceola IN 46561-1309 Ph: (574) 369-9102 | Medi Weight Loss Mishawaka 7225 Heritage Square Dr Ste 240 Granger IN 46530-5646 Ph: (574) 369-9102 |
| NPI Number | 1063397867 |
|---|---|
| Provider Enumeration Date | 08/11/2025 |
| Last Update Date | 08/11/2025 |
| Certification Date | 08/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063397867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
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