Wieschhaus, Martin F

Wieschhaus, Martin F is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 407, Mishawaka IN 46545-1464. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wieschhaus, Martin F can be contacted via phone (574) 335-6500.

Contact Information

Primary practice address
611 E Douglas Rd Ste 407 Mishawaka IN 46545-1464
Phone: (574) 335-6500
Fax: (574) 335-0772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01036210A Indiana

Profile Details

NPI number 1770525198
LBN Legal business name Wieschhaus, Martin F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Nov 9th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770525198 NPPES
Indiana MEDICAID 100325860
Indiana Other 1102246243

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