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Northeast Indiana Genetics, Llc
Clinical Genetics (M.D.) Physician in Fort Wayne, Indiana
NPI 1356764419

Northeast Indiana Genetics, Llc is a Clinical Genetics (M.D.) Physician based in Fort Wayne, IN and is specialized in Clinical Genetics (M.D.). Northeast Indiana Genetics, Llc practices in Fort Wayne, IN. The NPI Number for Northeast Indiana Genetics, Llc is 1356764419 and holds a License No. (Indiana).

The current practice location address for Northeast Indiana Genetics, Llc is 7230 Engle Rd, Fort Wayne, IN and can be reached out via phone at 260-482-3886 and via fax at 260-482-1910.

Location: 7230 Engle Rd, Fort Wayne, IN, 46804-2209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356764419
Provider Name
Northeast Indiana Genetics, Llc
Credential
Provider Entity Type
Organization
Address
7230 Engle Rd, Fort Wayne, IN, 46804-2209
Phone Number
260-482-3886
Fax Number
260-482-1910
Provider Enumeration Date
01/27/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01022953A 01 IN PHYSICIAN MEDICAL LICENSING
institution
Provider Business Practice Location Address Details
Address
7230 Engle Rd
City
Fort Wayne
State
Indiana
Zip
46804-2209
Phone Number
260-482-3886
Fax Number
260-482-1910
person
Provider Business Mailing Address Details
Address
7230 Engle Rd
City
Fort Wayne
State
Indiana
Zip
46804-2209
Phone Number
260-482-3886
Fax Number
260-482-1910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
207SG0201X
License No.
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Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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