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Todd Lee Deturk, PA
Physician Assistant in Fort Wayne, Indiana
NPI 1558332403

Todd Lee Deturk is a Physician Assistant based in Fort Wayne, IN. Todd Lee Deturk practices in Fort Wayne, IN and has the professional credentials of PA. The NPI Number for Todd Lee Deturk is 1558332403 and holds a License No. 10000810A (Indiana).

The current practice location address for Todd Lee Deturk is 7601 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-436-8686 and via fax at 260-436-8585.

Location: 7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558332403
Provider Name
Todd Lee Deturk
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
7601 W Jefferson Blvd, Fort Wayne, IN, 46801-2526
Phone Number
260-436-8686
Fax Number
260-436-8585
Provider Enumeration Date
01/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OPR 05 IN
000000622050 01 ANTHEM
institution
Provider Business Practice Location Address Details
Address
7601 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
260-436-8585
person
Provider Business Mailing Address Details
Address
7601 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4133
Phone Number
260-436-8686
Fax Number
260-436-8585
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
10000810A (Indiana)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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