IndividualActive
Patrick Viscardi, M.D.
NPI 1801893268 · Plastic Surgery Physician · Mishawaka, IN
Provider details
- NPI number
- 1801893268
- Entity type
- Individual
- Primary specialty
- Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01048709A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician2082S0099XLicense 01048709A (IN)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
611 E Douglas Rd Ste 108
Mishawaka, IN 46545-1464
Phone: (574) 968-9100
Fax: (574) 968-3517
Approximate (ZIP-level) locationGet directions
Mailing address
611 E Douglas Rd
Mishawaka, IN 46545-1464
Additional practice locations (1)
- 200 High Park AveGoshen, IN 46526-4810Phone: (574) 364-2888
Registry dates
- Enumerated
- 2005-06-30
- Last updated
- 2023-08-08
- Certified
- 2023-08-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.