JONATHAN VIDA

SOUTH BEND, IN
NPI1487041042
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01079813A)
Enumeration Date2015-04-22
Last Update Date2023-05-01
Business Address
JONATHAN VIDA
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601-1033
Phone number: 574-647-3050
Mailing Address
JONATHAN VIDA
3245 HEALTH DR STE 100
GRANGER, IN 46530-1380
Phone number:
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