NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1780856724 |   |   |   | BEACON MEDICAL GROUP, INC. | 710 N NILES AVE | SOUTH BEND | IN | 466171924 |
1235146945 | COOTS | JOEL | WAYNE |   | 58 TOLSTOY TRL | VALPARAISO | IN | 463838937 |
1508870312 | DY | MELINDA | MILLAN |   | 3355 DOUGLAS RD | SOUTH BEND | IN | 466351781 |
1538466172 | SCHLUNZ | MARY | EILEEN |   | 3355 DOUGLAS RD | SOUTH BEND | IN | 466351781 |
1912982117 | WOHLRAB | ERIC | PAUL |   | 3355 DOUGLAS RD | SOUTH BEND | IN | 466351781 |