Individual
DR. CANDACE CORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16641 BRICK RD, GRANGER, IN 46530-8518
(574) 273-1763
Mailing address
16641 BRICK RD, GRANGER, IN 46530-8518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01038445A
IN
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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