institution
Regen Med Of Indiana Llc
General Practice Physician in Fort Wayne, Indiana
NPI 1104395680

Regen Med Of Indiana Llc is a General Practice Physician based in Fort Wayne, IN. Regen Med Of Indiana Llc practices in Fort Wayne, IN. The NPI Number for Regen Med Of Indiana Llc is 1104395680 and holds a License No. (Indiana).

The current practice location address for Regen Med Of Indiana Llc is 5931 Stoney Creek Dr, Fort Wayne, IN and can be reached out via phone at 260-482-2206 and via fax at 260-483-3964.

Location: 5931 Stoney Creek Dr, Fort Wayne, IN, 46825-4401
institution
Provider Profile Details
NPI Number
1104395680
Provider Name
Regen Med Of Indiana Llc
Credential
Provider Entity Type
Organization
Address
5931 Stoney Creek Dr, Fort Wayne, IN, 46825-4401
Phone Number
260-482-2206
Fax Number
260-483-3964
Provider Enumeration Date
11/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5931 Stoney Creek Dr
City
State
Zip
46825-4401
Phone Number
260-482-2206
Fax Number
260-483-3964
person
Provider Business Mailing Address Details
Address
5931 Stoney Creek Dr
City
State
Zip
46825-4401
Phone Number
260-482-2206
Fax Number
260-483-3964
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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