Search › Indiana › 213E00000X
Jason Grove, DPM
NPI 1609040088 · on the registry since 2008
Practice
- Address
- 611 E Douglas Rd Ste 101
Mishawaka, IN 46545 - Phone
- (574) 335-6800
- Fax
- (574) 335-0772
- 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
- 1919 Lake Ave Ste 102b, Plymouth, IN
- 611 E Douglas Rd Ste 407, Mishawaka, IN
Registry record
- Primary taxonomy
- 213E00000X
213E00000X
- Also registered as
- 213ES0103X
- Licence states on file
- OH, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-15
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