NPI 1801893268

Patrick J Viscardi, MD

Practitioner Plastic Surgery Physician Mishawaka, IN

Practice location

Address: 611 E Douglas Rd STE 108, Mishawaka, IN 46545-1464
Phone: (574) 968-9100
Fax: (574) 968-3517
Mailing address: 611 E Douglas Rd #108, Mishawaka, IN 46545-1464

Registered specialties (3)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 01048709A (IN)

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Registry record

NPI: 1801893268
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2005
Record last updated: 8 Aug 2023

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.