Michiana 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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.