Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michiana Interventional and Vascular Services, LLC

Organization Vascular & Interventional Radiology Physician · NPI 1386375194

Michiana Interventional and Vascular Services, LLC is a Vascular & Interventional Radiology Physician in Mishawaka, Indiana. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 E Douglas Rd Ste 200
Mishawaka, IN 46545-1465
Phone: (574) 272-5347
Fax: (574) 272-8617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X

Record details

NPI number1386375194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bonnie Coates — Manager · (574) 210-2473
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 28, 2022
Certification dateJune 28, 2022
Mailing address611 E Douglas Rd Ste 200, Mishawaka, IN 46545-1465

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