Northeast Indiana Pediatric Specialists, PC
Northeast Indiana Pediatric Specialists, PC is a Pediatric Infectious Diseases Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11123 Parkview Plaza Dr Ste # 102Fort Wayne, IN 46845-1707
Phone: (260) 483-0688
Fax: (260) 483-0798
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Infectious Diseases Physician (primary) | Taxonomy 2080P0208X · Licence 50004150A (IN) |
|---|
Record details
| NPI number | 1629267323 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sheryl Anderson — Manager · (260) 483-0688 |
| NPI enumerated | October 18, 2007 |
| Last updated in NPPES | October 18, 2007 |
| Mailing address | Po Box 5191, Fort Wayne, IN 46895-5191 |
Other providers in Fort Wayne
-
Dr. Michael Philip Dick, MD
3898 New Vision Dr, Fort Wayne, IN 46845 · (260) 425-5750