Individual
DR. MARK C SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1632 LINCOLN WAY E, MISHAWAKA, IN 46544-2918
(574) 256-2635
(574) 256-0030
Mailing address
1632 LINCOLN WAY E, MISHAWAKA, IN 46544-2918
(574) 256-2635
(574) 256-0030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001934A
IN
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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