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Jessica L. Ottenweller-butcher, MD
Family Medicine Physician in Fort Wayne, Indiana
NPI 1629089453

Jessica L. Ottenweller-butcher is a Family Medicine Physician based in Fort Wayne, IN. Jessica L. Ottenweller-butcher practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Jessica L. Ottenweller-butcher is 1629089453 and holds a License No. 01064357A (Indiana).

The current practice location address for Jessica L. Ottenweller-butcher is 2512 E Dupont Rd Ste 200, Fort Wayne, IN and can be reached out via phone at 260-458-3760 and via fax at 260-458-3761.

Location: 2512 E Dupont Rd Ste 200, Fort Wayne, IN, 46804-7934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629089453
Provider Name
Jessica L. Ottenweller-butcher
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2512 E Dupont Rd Ste 200, Fort Wayne, IN, 46804-7934
Phone Number
260-458-3760
Fax Number
260-458-3761
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200941590 05 IN
000000615710 01 BLUE CROSS BLUE SHIELD
P01390392 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2512 E Dupont Rd Ste 200
City
Fort Wayne
State
Indiana
Zip
46825-1609
Phone Number
260-458-3760
Fax Number
260-458-3761
person
Provider Business Mailing Address Details
Address
2512 E Dupont Rd Ste 200
City
Fort Wayne
State
Indiana
Zip
46825-1609
Phone Number
260-458-3760
Fax Number
260-458-3761
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01064357A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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