Male or Other

Dr. Joseph M. Caruso M.D.

Family Medicine Physician in Mishawaka, IN(View on Map)

Full Name

Dr. Joseph Michael Caruso M.D.

NPI Number

1598763203

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/07/2005

Specialties

(Taxonomies)

Code

207Q00000X
207PT0002X

Primary Taxonomy

Yes
No

Licenses

State

Indiana

License Number

01035309A

Contact
Information

Purpose

Mailing
Location

Address

3245 HEALTH DR STE 100
4630 VISTULA RD

City

Granger
Mishawaka

State

IN
IN

Postal Code

46530-1380
46544-4000

Country

US
US

Telephone Number

N/A
(574) 647-1900

Identifiers

Identifier

100090740

Identifier State

IN

Identifier Issuer

Unknown

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

CARUSO@mybeacon.cernerdirect.com

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

3301 County Road 6 EElkhart, IN465147673US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/26/2024

Provider Address

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