MARK S STANISH

SOUTH BEND, IN
NPI1689664070
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IN  01039400A)
Enumeration Date2005-10-26
Last Update Date2016-08-03
Business Address
Dr. MARK S STANISH MD
4440 NORTH PORTAGE AVENUE
SOUTH BEND, IN 46628-9570
Phone number: 574-204-6200
Mailing Address
Dr. MARK S STANISH MD
4440 NORTH PORTAGE AVENUE
SOUTH BEND, IN 46628-9570
Phone number: 574-204-6200
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