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Northeast Indiana Genetic Counseling Center Inc
Pediatrics Physician in Fort Wayne, Indiana
NPI 1881678860

Northeast Indiana Genetic Counseling Center Inc is a Pediatrics Physician based in Fort Wayne, IN. Northeast Indiana Genetic Counseling Center Inc practices in Fort Wayne, IN. The NPI Number for Northeast Indiana Genetic Counseling Center Inc is 1881678860 and holds a License No. 01022953 (Indiana).

The current practice location address for Northeast Indiana Genetic Counseling Center Inc is 11143 Parkview Plaza Dr, Fort Wayne, IN and can be reached out via phone at 260-482-3886 and via fax at 260-482-1910.

Location: 11143 Parkview Plaza Dr, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881678860
Provider Name
Northeast Indiana Genetic Counseling Center Inc
Credential
Provider Entity Type
Organization
Address
11143 Parkview Plaza Dr, Fort Wayne, IN, 46845-1701
Phone Number
260-482-3886
Fax Number
260-482-1910
Provider Enumeration Date
12/02/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100080650A 05 IN
100360290A 05 IN
institution
Provider Business Practice Location Address Details
Address
11143 Parkview Plaza Dr
City
Fort Wayne
State
Indiana
Zip
46845-1701
Phone Number
260-482-3886
Fax Number
260-482-1910
person
Provider Business Mailing Address Details
Address
11143 Parkview Plaza Dr
City
Fort Wayne
State
Indiana
Zip
46845-1701
Phone Number
260-482-3886
Fax Number
260-482-1910
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Cytogenetics
Taxonomy
207SC0300X
License No.
01022953 (Indiana)
Definition
A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
207SG0201X
License No.
01022953 (Indiana)
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
01022953 (Indiana)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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