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Mycal L Mansfield, MD
Family Medicine Physician in Avilla, Indiana
NPI 1174730071

Mycal L Mansfield is a Family Medicine Physician based in Fort Wayne, IN. Mycal L Mansfield practices in Avilla, IN and has the professional credentials of MD. The NPI Number for Mycal L Mansfield is 1174730071 and holds a License No. 01067081A (Indiana).

The current practice location address for Mycal L Mansfield is 104 Nicholas Pl, Avilla, IN and can be reached out via phone at 260-897-3308 and via fax at 260-897-3650.

Location: 104 Nicholas Pl, Avilla, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174730071
Provider Name
Mycal L Mansfield
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
104 Nicholas Pl, Avilla, IN, 46845-1701
Phone Number
260-897-3308
Fax Number
260-897-3650
Provider Enumeration Date
05/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000656884 01 IN ANTHEM
200950300 05 IN
institution
Provider Business Practice Location Address Details
Address
104 Nicholas Pl
City
Avilla
State
Indiana
Zip
46710-0069
Phone Number
260-897-3308
Fax Number
260-897-3650
person
Provider Business Mailing Address Details
Address
104 Nicholas Pl
City
Avilla
State
Indiana
Zip
46710-0069
Phone Number
260-897-3308
Fax Number
260-897-3650
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01067081A (Indiana)
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.
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