IndividualActive
Ellen Cunningham, M.D.
NPI 1205902186 · Dermatology Physician · Mishawaka, IN
Provider details
- NPI number
- 1205902186
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 01089272A (IN)
Practice location
1802 Day Rd
Mishawaka, IN 46545-4329
Phone: (574) 204-7200
Fax: (574) 252-0633
Mailing address
1425 Pompton Ave
Cedar Grove, NJ 07009-1043
Registry dates
- Enumerated
- 2006-11-24
- Last updated
- 2025-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.