Organization
CORRECTIVE CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CANTIERI D.O. (C.E.O.)
(574) 271-8646
Entity
Organization
Contact information
Practice address
3555 PARK PL W, SUITE #200, MISHAWAKA, IN 46545-3513
(574) 271-8646
(574) 271-8624
Mailing address
3555 PARK PL W, SUITE #200, MISHAWAKA, IN 46545-3513
(574) 271-8646
(574) 271-8624
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
204D00000X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000104082
BLUE CROSS BLUE SHIELD
IN
Enumeration date
06/24/2006
Last updated
10/09/2007
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