Organization
CARDIOVASCULAR WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMRON CAPRAROTTA (PRACTICE MANAGER)
(574) 387-5273
Entity
Organization
Contact information
Practice address
16605 STATE ROAD 23, SOUTH BEND, IN 46635-1463
(574) 387-5273
(574) 855-3582
Mailing address
16605 STATE ROAD 23, SOUTH BEND, IN 46635-1463
(574) 387-5273
(574) 855-3582
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/09/2013
Last updated
12/08/2016
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