| Charles H Middleton & Mary Ellen Argus | |
|
4302 E State Blvd Fort Wayne IN 46815 | |
| (260) 484-3136 | |
| (260) 484-3137 |
| Full Name | Charles H Middleton & Mary Ellen Argus |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4302 E State Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Charles H Middleton (OWNER) |
| Authorized Official Contact | 2604843136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles H Middleton & Mary Ellen Argus 4302 E State Blvd Fort Wayne IN 46815 Ph: (260) 484-3136 | Charles H Middleton & Mary Ellen Argus 4302 E State Blvd Fort Wayne IN 46815 Ph: (260) 484-3136 |
| NPI Number | 1215024989 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 04/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215024989 | NPI | - | NPPES |
| 00055165 | Other | IN | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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