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Jan Magno De Guzman, MD
Adult Medicine Physician in Fort Wayne, Indiana
NPI 1477083848

Jan Magno De Guzman is an Adult Medicine Physician based in Indianapolis, IN and is specialized in Adult Medicine. Jan Magno De Guzman practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Jan Magno De Guzman is 1477083848 and holds a License No. 01083919A (Indiana).

The current practice location address for Jan Magno De Guzman is 10215 Auburn Park Dr, Fort Wayne, IN and can be reached out via phone at 260-234-5400 and via fax at 260-234-5110.

Location: 10215 Auburn Park Dr, Fort Wayne, IN, 46219-4959
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Provider Profile Details
NPI Number
1477083848
Provider Name
Jan Magno De Guzman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10215 Auburn Park Dr, Fort Wayne, IN, 46219-4959
Phone Number
260-234-5400
Fax Number
260-234-5110
Provider Enumeration Date
06/18/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11019468A 01 IN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
10215 Auburn Park Dr
City
State
Zip
46825-2387
Phone Number
260-234-5400
Fax Number
260-234-5110
person
Provider Business Mailing Address Details
Address
10215 Auburn Park Dr
City
State
Zip
46825-2387
Phone Number
260-234-5400
Fax Number
260-234-5110
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
01083919A (Indiana)
Definition
Definition to come.
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