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

Michiana Neurologic Medicine, PC

Organization Neurology Physician · NPI 1336414499

Michiana Neurologic Medicine, PC is a Neurology Physician in Granger, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14404 State Road 23 Ste B
Granger, IN 46530-7778
Phone: (574) 252-7795
Fax: (574) 252-7796
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1710 E Day Rd, Mishawaka, IN 46545-4300 — (574) 252-7795

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 01037448A (IN)

Record details

NPI number1336414499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Kristl — M.D. · (574) 252-7795
NPI enumeratedMarch 21, 2012
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026
Mailing address1710 E Day Rd, Mishawaka, IN 46545-4300