| Directclinic | |
|
1355 Getz Rd Ste C Fort Wayne IN 46804-1609 | |
| (260) 212-1900 | |
| Not Available |
| Full Name | Directclinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1355 Getz Rd Ste C, Fort Wayne, Indiana |
| Authorized Official Name and Position | Sudhakar Santhana Krishnan (CEO) |
| Authorized Official Contact | 2607500418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Directclinic 1355 Getz Rd Ste C Fort Wayne IN 46804-1609 Ph: (260) 212-1900 | Directclinic 1355 Getz Rd Ste C Fort Wayne IN 46804-1609 Ph: (260) 212-1900 |
| NPI Number | 1336733229 |
|---|---|
| Provider Enumeration Date | 02/22/2021 |
| Last Update Date | 11/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336733229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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