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Individual

ERICA L CORRADINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
710 FRANKLIN ST STE 200, MICHIGAN CITY, IN 46360-3564
(219) 872-6200
Mailing address
5736 CARNATION AVE, PORTAGE, IN 46368-1570
(219) 628-1281

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010094A
IN

Other

Enumeration date
06/12/2020
Last updated
03/01/2021
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