OrganizationActive
Michiana Interventional and Vascular Services, LLC
NPI 1386375194 · Vascular & Interventional Radiology Physician · Mishawaka, IN
Provider details
- NPI number
- 1386375194
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bonnie Coates, Manager(574) 210-2473
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
611 E Douglas Rd Ste 200
Mishawaka, IN 46545-1465
Phone: (574) 272-5347
Fax: (574) 272-8617
Approximate (ZIP-level) locationGet directions
Mailing address
611 E Douglas Rd Ste 200
Mishawaka, IN 46545-1465
Registry dates
- Enumerated
- 2022-06-22
- Last updated
- 2022-06-28
- Certified
- 2022-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.