person
Michael A Kinzer, MD
Diagnostic Radiology Physician in Fort Wayne, Indiana
NPI 1609814458

Michael A Kinzer is a Diagnostic Radiology Physician based in Fort Wayne, IN and is specialized in Diagnostic Radiology. Michael A Kinzer practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Michael A Kinzer is 1609814458 and holds a License No. 019169 (Indiana).

The current practice location address for Michael A Kinzer is 2200 Randallia Dr, Fort Wayne, IN and can be reached out via phone at 260-373-4731.

Location: 2200 Randallia Dr, Fort Wayne, IN, 46845-1702
person
Provider Profile Details
NPI Number
1609814458
Provider Name
Michael A Kinzer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2200 Randallia Dr, Fort Wayne, IN, 46845-1702
Phone Number
260-373-4731
Fax Number
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4249815100 05 MI
000000092605 01 IN ANTHEM
1484 01 IN PHP
2100649 05 OH
institution
Provider Business Practice Location Address Details
Address
2200 Randallia Dr
City
State
Zip
46805-4638
Phone Number
260-373-4731
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Randallia Dr
City
State
Zip
46805-4638
Phone Number
260-373-4731
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
019169 (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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