institution
Innovative Professional Service Llc
General Practice Physician in Fort Wayne, Indiana
NPI 1679836910

Innovative Professional Service Llc is a General Practice Physician based in Fort Wayne, IN. Innovative Professional Service Llc practices in Fort Wayne, IN. The NPI Number for Innovative Professional Service Llc is 1679836910 and holds a License No. 01025672 (Indiana).

The current practice location address for Innovative Professional Service Llc is 3464 Stellhorn Rd, Fort Wayne, IN and can be reached out via phone at 260-432-6508 and via fax at 260-432-6586.

Location: 3464 Stellhorn Rd, Fort Wayne, IN, 46815-4630
institution
Provider Profile Details
NPI Number
1679836910
Provider Name
Innovative Professional Service Llc
Credential
Provider Entity Type
Organization
Address
3464 Stellhorn Rd, Fort Wayne, IN, 46815-4630
Phone Number
260-432-6508
Fax Number
260-432-6586
Provider Enumeration Date
06/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3464 Stellhorn Rd
City
State
Zip
46815-4630
Phone Number
260-432-6508
Fax Number
260-432-6586
person
Provider Business Mailing Address Details
Address
3464 Stellhorn Rd
City
State
Zip
46815-4630
Phone Number
260-432-6508
Fax Number
260-432-6586
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
01025672 (Indiana)
Definition
Definition to come...
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