Michiana Neurologic Medicine, Pc
Neurology Clinic
229 Red Coach Dr Ste 105, Mishawaka
Indiana, 46545-3195
574-252-7795 574-252-7796
Maps & DirectionsMichiana Neurologic Medicine, Pc is a Neurology Clinic in Mishawaka, Indiana. It is located at 229 Red Coach Dr Ste 105, Mishawaka, IN and its contact number is 574-252-7795. The authorized person for Michiana Neurologic Medicine, Pc is Dr. Kevin Robert Kristl
who is President of the clinic and his/her contact number is 574-252-7795. The primary license number for Michiana Neurologic Medicine, Pc is 01037448A (Neurology) in Indiana.
Michiana Neurologic Medicine, Pc Clinic specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Clinic Profile:
Michiana Neurologic Medicine, Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Michiana Neurologic Medicine, Pc |
| Specialization: | Neurology |
| Clinic Address: | 229 Red Coach Dr Ste 105, Mishawaka,
Indiana, 46545-3195 |
| Phone: | 574-252-7795 |
| Fax: | 574-252-7796 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Kevin Robert Kristl |
| Position: | President |
| Contact Number: | 574-252-7795 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Michiana Neurologic Medicine, Pc clinic are as mentioned below.
| NPI Number: | 1336414499 |
| NPI Enumeration Date: | 21 Mar, 2012 |
| NPI Last Update On: | 21 Mar, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michiana Neurologic Medicine, Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Neurology | 01037448A | Indiana | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100179640 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Michiana Neurologic Medicine, Pc
229 Red Coach Dr Ste 105,
Mishawaka, Indiana |
| Zip: | 46545-3195 |
| Phone Number: | 574-252-7795 |
| Fax Number: | 574-252-7796 |
Patients can reach Michiana Neurologic Medicine, Pc at
229 Red Coach Dr Ste 105, Mishawaka, Indiana or can
call to book an appointment on 574-252-7795.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.