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Dr. Jamie C Broekhuizen, DO
Family Medicine Physician in Fort Wayne, Indiana
NPI 1033312442

Jamie C Broekhuizen is a Family Medicine Physician based in Fort Wayne, IN. Jamie C Broekhuizen practices in Fort Wayne, IN and has the professional credentials of DO. The NPI Number for Jamie C Broekhuizen is 1033312442 and holds a License No. 036129571 (Indiana).

The current practice location address for Jamie C Broekhuizen is 3909 New Vision Dr, Fort Wayne, IN and can be reached out via phone at 260-469-6610 and via fax at 260-969-3065.

Location: 3909 New Vision Dr, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033312442
Provider Name
Jamie C Broekhuizen
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
3909 New Vision Dr, Fort Wayne, IN, 46845-1701
Phone Number
260-469-6610
Fax Number
260-969-3065
Provider Enumeration Date
06/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3909 New Vision Dr
City
Fort Wayne
State
Indiana
Zip
46845-1725
Phone Number
260-469-6610
Fax Number
260-969-3065
person
Provider Business Mailing Address Details
Address
3909 New Vision Dr
City
Fort Wayne
State
Indiana
Zip
46845-1725
Phone Number
260-469-6610
Fax Number
260-969-3065
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101016722 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
036129571 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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