Search › Indiana › 2084N0400X
Mark Muckway, M.D
NPI 1265521652 · on the registry since 2006
Practice
- Address
- 611 E Douglas Rd Ste 305
Mishawaka, IN 46545 - Phone
- (574) 335-6450
- Fax
- (574) 335-0643
- Organisation at this address
- The Centre Pc
The Centre Llc
Msm Holdco, Llc
Labcorp Indiana Inc
Midwest Medical Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 149
Additional practice sites
- 100 Hospital Ln Ste 225, Danville, IN
- 301 Satori Pkwy Ste 150, Avon, IN
- 11104 Parkview Circle Dr Ste 110, Fort Wayne, IN
Registry record
- Primary taxonomy
- 2084N0400X
2084N0400X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana