Fort Wayne Integrative Medicine
Fort Wayne Integrative Medicine is a Dermatology Physician in Fort Wayne, Indiana. Registered with an NPI since 2016.
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
3919 W Jefferson BlvdFort Wayne, IN 46804-6811
Phone: (260) 475-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X |
Record details
| NPI number | 1245686989 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Vishaal Veerula — Medical Director · (260) 475-0772 |
| NPI enumerated | May 12, 2016 |
| Last updated in NPPES | April 18, 2018 |
| Mailing address | 3919 W Jefferson Blvd, Fort Wayne, IN 46804-6811 |
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