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Three Rivers Dermatology, Llc
Specialist in Fort Wayne, Indiana
NPI 1992991475

Three Rivers Dermatology, Llc is a Specialist based in Fort Wayne, IN. Three Rivers Dermatology, Llc practices in Fort Wayne, IN. The NPI Number for Three Rivers Dermatology, Llc is 1992991475 and holds a License No. (Indiana).

The current practice location address for Three Rivers Dermatology, Llc is 5650 Coventry Ln, Fort Wayne, IN and can be reached out via phone at 260-436-9696 and via fax at 260-436-9424.

Location: 5650 Coventry Ln, Fort Wayne, IN, 46804-7140
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992991475
Provider Name
Three Rivers Dermatology, Llc
Credential
Provider Entity Type
Organization
Address
5650 Coventry Ln, Fort Wayne, IN, 46804-7140
Phone Number
260-436-9696
Fax Number
260-436-9424
Provider Enumeration Date
09/19/2007
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
5650 Coventry Ln
City
Fort Wayne
State
Indiana
Zip
46804-7140
Phone Number
260-436-9696
Fax Number
260-436-9424
person
Provider Business Mailing Address Details
Address
5650 Coventry Ln
City
Fort Wayne
State
Indiana
Zip
46804-7140
Phone Number
260-436-9696
Fax Number
260-436-9424
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
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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