NPI 1003818212
John L Jenkins, MD
Practice location
- Address
- 621 Memorial Dr STE 502, South Bend, IN 46601-1075
- Phone
- (574) 234-9001
- Fax
- (574) 287-5367
Registered specialties
Specialist
Primary
Registry record
- NPI
- 1003818212
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Jun 2005
- Record last updated
- 6 Oct 2010
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.