Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK JAY MCGILLEM, M.D.
ActiveDR. MARK JAY MCGILLEM, M.D. is a Internal Medicine healthcare provider located in MISHAWAKA, Indiana. NPI 1700877339 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · MISHAWAKA, IN
Registration Details
- NPI Number
- 1700877339
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 2, 2005 (20.763263356185 yrs)
- Last Updated
- Mar 15, 2012
- License
-
01051194A (IN)
Practice Information
- Address
-
5215 HOLY CROSS PKWYMISHAWAKA, IN, 465451469Browse IN providers · Browse ZIP 46545
- Phone
- 5743352521
- Fax
- 5743352262
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in MISHAWAKA, IN
| Name | Credential | NPI |
|---|---|---|
| THOMAS P VARIED | M.D. | 1356345797 |
| DR. ELIZABETH MARIE LAUBER | M.D. | 1053308551 |
| DR. TAEGEE KIEHM | M.D. | 1780671883 |
| RICHARD JOEL WEIN | MD | 1770574014 |
| DAHAN HUSSEIN AL-FADHL | M.D. | 1740235183 |
| SHAYA MOKFI | M.D. | 1912952151 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.