Individual
MR. ROBERT CASSADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 PORTAGE AVE, SOUTH BEND, IN 46628-9570
(574) 204-6200
(574) 239-1520
Mailing address
4440 PORTAGE AVE, SOUTH BEND, IN 46628-9570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01079265A
IN
Other
Enumeration date
06/16/2016
Last updated
01/20/2021
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