| Dale H Aeschliman Md Inc | |
|
5717 S Anthony Blvd Suite 600 Fort Wayne IN 46806-3386 | |
| (260) 441-3253 | |
| (260) 441-3214 |
| Full Name | Dale H Aeschliman Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5717 S Anthony Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Dale H. Aeschliman (PRESIDENT) |
| Authorized Official Contact | 2604413253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale H Aeschliman Md Inc 5717 S Anthony Blvd Suite 600 Fort Wayne IN 46806-3386 Ph: (260) 441-3253 | Dale H Aeschliman Md Inc 5717 S Anthony Blvd Suite 600 Fort Wayne IN 46806-3386 Ph: (260) 441-3253 |
| NPI Number | 1154721876 |
|---|---|
| Provider Enumeration Date | 08/29/2014 |
| Last Update Date | 08/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154721876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01025296 (Indiana) | Primary |
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