KIRK JON BODACH

SOUTH BEND, IN
NPI1306044003
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01065817A)
Enumeration Date2007-07-05
Last Update Date2021-03-30
Business Address
KIRK JON BODACH MD
615 N MICHIGAN ST FL 1
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3050
Mailing Address
KIRK JON BODACH MD
710 N NILES AVE
SOUTH BEND, IN 46617-1924
Phone number: 574-647-1610
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