Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Regen Med of Indiana LLC

Organization General Practice Physician · NPI 1104395680

Regen Med of Indiana LLC is a General Practice Physician in Fort Wayne, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5931 Stoney Creek Dr
Fort Wayne, IN 46825-4401
Phone: (260) 482-2206
Fax: (260) 483-3964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1104395680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tonna Chalfant — Manager · (260) 482-2206
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 14, 2018
Mailing address5931 Stoney Creek Dr, Fort Wayne, IN 46825-4401

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