Whalio Doctors

NPI 1730281841

Stephen Ralph Ribaudo, MD

Practitioner Physical Medicine & Rehabilitation Physician Mishawaka, IN

Practice location

Address
229 Red Coach Dr Suite 102, Mishawaka, IN 46545-3195
Phone
(574) 252-5852
Fax
(574) 252-5862

Registered specialties

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 01034333 (IN)

Registry record

NPI
1730281841
Entity type
Individual
Sex (as registered)
Male
NPI issued
1 Sep 2006
Record last updated
23 Dec 2020

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.