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Search › Indiana › 390200000X

Annaliesa Fanguy, MD

NPI 1760365530 · on the registry since 2025 · sole proprietor

Practice

Address
611 E Douglas Rd Ste 407
Mishawaka, IN 46545
Phone
(574) 335-6500
Organisation at this address
The Centre Pc
The Centre Llc
Msm Holdco, Llc
Labcorp Indiana Inc
Midwest Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
149

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-02

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