Dr. Amanda Kathrine Willems Dutkiewicz
M.D. | Pediatrics | Female
Dr. Amanda Kathrine Willems Dutkiewicz, M.D. is a South Bend, Indiana based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Amanda Kathrine Willems Dutkiewicz is also known as
Amanda Kathrine Willems.
Current practice location of Dr. Amanda Kathrine Willems Dutkiewicz is
615 N Michigan St, 5th Fl, South Bend, Indiana - 46601-1033. She can be contacted on phone at
574-647-7275 and fax number 574-647-3696.
Dr. Amanda Kathrine Willems Dutkiewicz is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Amanda Kathrine Willems Dutkiewicz is
1891989539 which was assigned by NPPES on 05 Sep, 2007 and it was last updated on 28 Apr, 2023.
Dr. Amanda Kathrine Willems Dutkiewicz license number is
01063419A for Pediatrics (208000000X) in Indiana.
Dr. Amanda Kathrine Willems Dutkiewicz is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Amanda Kathrine Willems Dutkiewicz basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Amanda Kathrine Willems Dutkiewicz |
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| Other Name : | Amanda Kathrine Willems |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Amanda Kathrine Willems Dutkiewicz address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 615 N Michigan St, 5th Fl
South Bend, IN, 46601-1033
United States |
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| Phone Number : | 574-647-7275 |
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| Fax Number : | 574-647-3696 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1891989539 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Sep, 2007 |
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| Last Updated On : | 28 Apr, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Amanda Kathrine Willems Dutkiewicz are as mentioned. Primary taxonomy code for Dr. Amanda Kathrine Willems Dutkiewicz, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 01063419A | IN |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Amanda Kathrine Willems Dutkiewicz such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200886800 | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | adutkiewicz@mybeacon.cernerdirect.com
| No affiliation |
|
| 615 N Michigan St Fl 5,
South Bend, IN, 46601-1033
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 710 N Niles Ave
South Bend, IN, 46617-1924
United States |
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| Phone Number : | 574-647-1610 |
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Business Location:
Patients can refer following map for directions to
Dr. Amanda Kathrine Willems Dutkiewicz practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.