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Peter A. Jakacki, MD
Family Medicine Physician in Fort Wayne, Indiana
NPI 1669463089

Peter A. Jakacki is a Family Medicine Physician based in Fort Wayne, IN. Peter A. Jakacki practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Peter A. Jakacki is 1669463089 and holds a License No. 01052452A (Indiana).

The current practice location address for Peter A. Jakacki is 2512 E Dupont Rd, Fort Wayne, IN and can be reached out via phone at 260-497-0084 and via fax at 260-484-2859.

Location: 2512 E Dupont Rd, Fort Wayne, IN, 46804-7934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669463089
Provider Name
Peter A. Jakacki
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2512 E Dupont Rd, Fort Wayne, IN, 46804-7934
Phone Number
260-497-0084
Fax Number
260-484-2859
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000183064 01 BLUE CROSS BLUE SHIELD
200347770 05 IN
P00989023 01 IN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2512 E Dupont Rd
City
Fort Wayne
State
Indiana
Zip
46825-1609
Phone Number
260-497-0084
Fax Number
260-484-2859
person
Provider Business Mailing Address Details
Address
2512 E Dupont Rd
City
Fort Wayne
State
Indiana
Zip
46825-1609
Phone Number
260-497-0084
Fax Number
260-484-2859
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
01052452A (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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