MITCHELL DAUGHERTY

Family Medicine - Sports Medicine

Active Individual
NPI: 1417481540

Practice Address

1815 E IRELAND RD
South Bend, IN 46614

Phone: (574) 647-1700

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X No 01082368A (IN)
Family Medicine - Sports Medicine 207QS0010X Yes 01082368A (IN)

Frequently Asked Questions

NPI 1417481540 is the National Provider Identifier for MITCHELL DAUGHERTY, a Family Medicine - Sports Medicine provider located in South Bend, IN. This NPI was enumerated on April 14, 2017.
MITCHELL DAUGHERTY practices at 1815 E IRELAND RD, South Bend, IN 46614.

Quick Facts

NPI
1417481540
Type
Individual
Enumerated
Apr 14, 2017
Last Updated
Jun 20, 2025

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