Individual
LOUIS CAVADINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 237-9395
(574) 204-6345
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 237-9395
(574) 204-6345
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11017869
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004623
—
IN
Enumeration date
06/17/2014
Last updated
11/18/2019
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