NPI 1003122003

Mini Sra

Practitioner Internal Medicine Physician Mishawaka, IN

Practice location

Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545-1469
Phone: (574) 335-2521
Fax: (574) 335-2262

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 01072359A (IN)

Other Internal Medicine providers in Indiana →

Registry record

NPI: 1003122003
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Aug 2010
Record last updated: 3 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.