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Fort Wayne Medical Institute
Specialist in Fort Wayne, Indiana
NPI 1659549475

Fort Wayne Medical Institute is a Specialist based in Fort Wayne, IN. Fort Wayne Medical Institute practices in Fort Wayne, IN. The NPI Number for Fort Wayne Medical Institute is 1659549475 and holds a License No. 01042585 (Indiana).

The current practice location address for Fort Wayne Medical Institute is 4424 E State Blvd, Fort Wayne, IN and can be reached out via phone at 260-483-4433 and via fax at 260-483-4223.

Location: 4424 E State Blvd, Fort Wayne, IN, 46815-6917
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659549475
Provider Name
Fort Wayne Medical Institute
Credential
Provider Entity Type
Organization
Address
4424 E State Blvd, Fort Wayne, IN, 46815-6917
Phone Number
260-483-4433
Fax Number
260-483-4223
Provider Enumeration Date
02/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1114911807 01 PROVIDER NPI
0963453 05 OH
institution
Provider Business Practice Location Address Details
Address
4424 E State Blvd
City
Fort Wayne
State
Indiana
Zip
46815-6917
Phone Number
260-483-4433
Fax Number
260-483-4223
person
Provider Business Mailing Address Details
Address
4424 E State Blvd
City
Fort Wayne
State
Indiana
Zip
46815-6917
Phone Number
260-483-4433
Fax Number
260-483-4223
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01042585 (Indiana)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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