Healthcare Provider Details
I. General information
NPI: 1245644574
Provider Name (Legal Business Name): WEI XIA HUFF M.D., PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/14/2014
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 NAVARRE PL STE 6600
SOUTH BEND IN
46601-1173
US
IV. Provider business mailing address
3245 HEALTH DR STE 100
GRANGER IN
46530-1380
US
V. Phone/Fax
- Phone: 574-647-8800
- Fax:
- Phone: 574-647-6592
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207T00000X |
| Taxonomy | Neurological Surgery Physician |
| License Number | 01085484A |
| License Number State | IN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: