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Benjamin Joseph Grandy, DO
Emergency Medicine Physician in Fort Wayne, Indiana
NPI 1285976571

Benjamin Joseph Grandy is a Emergency Medicine Physician based in Indianapolis, IN. Benjamin Joseph Grandy practices in Fort Wayne, IN and has the professional credentials of DO. The NPI Number for Benjamin Joseph Grandy is 1285976571 and holds a License No. (Indiana).

The current practice location address for Benjamin Joseph Grandy is 7950 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-435-7001. You can also correspond with Benjamin Joseph Grandy through the mailing address at 250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN - 46219-4959 (mailing address contact number: 317-962-3834).

Location: 7950 W Jefferson Blvd, Fort Wayne, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285976571
Provider Name
Benjamin Joseph Grandy
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
7950 W Jefferson Blvd, Fort Wayne, IN, 46219-4959
Phone Number
260-435-7001
Fax Number
Provider Enumeration Date
03/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300004384 05 IN
institution
Provider Business Practice Location Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804
Phone Number
260-435-7001
Fax Number
person
Provider Business Mailing Address Details
Address
7950 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804
Phone Number
260-435-7001
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
02005096A (Indiana)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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.
()
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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