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

Mishawaka Clinic, PC

Organization Family Medicine Physician · NPI 1972776938

Mishawaka Clinic, PC is a Family Medicine Physician in Mishawaka, Indiana. Registered with an NPI since 2008.

In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

303 S Main St Ste 212
Mishawaka, IN 46544
Phone: (574) 254-0800
Fax: (574) 254-0812
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1972776938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Reidy — President · (574) 254-0800
NPI enumeratedApril 10, 2008
Last updated in NPPESApril 8, 2011
Mailing address303 S. Main St., Suite 212, Mishawaka, IN 46544

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