Gerry S Easterday MD

NPI 1073508461 - Emergency Medicine - 207P00000X

NPI Details
NPI 1073508461
Gender Male
Enumeration Date 09/13/2005
Last Updated 04/10/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
3978 NEW VISION DR
FORT WAYNE IN, 46845-1712, US
Phone (260) 672-4680
Fax (260) 672-4685
Business Location
3978 NEW VISION DR
FORT WAYNE IN, 46845-1712, US
Phone (260) 672-4680
Fax (260) 672-4685
Toxanomy
Taxonomy Code 207P00000X
License State Indiana
License Number 01036101A
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According to our database, Dr. Gerry S Easterday MD NPI is 1073508461, taxonomy code is 207P00000X and license number is 01036101A, license state is located at Indiana. Gerry S Easterday MD physically located at 3978 New Vision Dr, Fort Wayne IN, 46845-1712. NPI Number Gerry S Easterday MD has the Individual type.

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1073508461 NPI number is provided on an as is basis without warranty of any kind. 1073508461 is maintained by the National Plan & Provider Enumeration System. The contents of Gerry S Easterday MD are for informational purposes only.