Search › Indiana › 1223G0001X
Maritza Michalak, DMD
NPI 1992228290 · on the registry since 2017
Practice
- Address
- 3575 Portage Rd Ste A
South Bend, IN 46628 - Phone
- (574) 349-2073
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
1223G0001X - Licence states on file
- FL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-16
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