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Sun Jiang Guo, MD
Specialist in Fort Wayne, Indiana
NPI 1942211362

Sun Jiang Guo is a Specialist based in Fort Wayne, IN. Sun Jiang Guo practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Sun Jiang Guo is 1942211362 and holds a License No. 01029090A (Indiana).

The current practice location address for Sun Jiang Guo is 2121 Lake Ave, Fort Wayne, IN and can be reached out via phone at 260-426-5431.

Location: 2121 Lake Ave, Fort Wayne, IN, 46835-8866
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942211362
Provider Name
Sun Jiang Guo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2121 Lake Ave, Fort Wayne, IN, 46835-8866
Phone Number
260-426-5431
Fax Number
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider Business Mailing Address Details
Address
2121 Lake Ave
City
Fort Wayne
State
Indiana
Zip
46805-5100
Phone Number
260-426-5431
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01029090A (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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