Fort Wayne City County Bld | |
1 E Main St Ste 510 Fort Wayne IN 46802-1815 | |
(260) 499-8660 | |
Not Available |
Full Name | Fort Wayne City County Bld |
---|---|
Speciality | Family Medicine |
Location | 1 E Main St Ste 510, Fort Wayne, Indiana |
Authorized Official Name and Position | Eric J Whicker (FINACIAL OFFICER) |
Authorized Official Contact | 2604232682 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fort Wayne City County Bld 1 E Main St Ste 510 Fort Wayne IN 46802-1815 Ph: (260) 499-8660 | Fort Wayne City County Bld 1 E Main St Ste 510 Fort Wayne IN 46802-1815 Ph: (260) 499-8660 |
NPI Number | 1730329566 |
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Provider Enumeration Date | 03/06/2009 |
Last Update Date | 03/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730329566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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