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

Michael J Star

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417246018

Michael J Star is a Student in an Organized Health Care Education/Training Program in South Bend, Indiana. Licensed in Indiana. Registered with an NPI since 2011.

Licensed in
IN
In the registry since
2011
Specialties on file
2

Practice location Address checks out

615 N Michigan St 1st Fl Hospitalist Ste
South Bend, IN 46601-1033
Phone: (574) 647-3050
Fax: (574) 647-1094
Show map & directions

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

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 01075143A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417246018
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2011
Last updated in NPPESMay 1, 2023
Certification dateJanuary 13, 2022
Mailing address3245 Health Dr., Suite 100, Granger, IN 46530-3245

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