Wm Edward Baltes MD

NPI 1093724643 - Internal Medicine - 207RC0000X

NPI Details
NPI 1093724643
Gender Male
Enumeration Date 08/05/2006
Last Updated 06/30/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
821 BROADWAY
FORT WAYNE IN, 46802-2107, US
Phone (260) 439-0044
Fax (260) 422-7860
Business Location
821 BROADWAY
FORT WAYNE IN, 46802-2107, US
Phone (260) 439-0044
Fax (260) 422-7860
Toxanomy
Taxonomy Code 207RC0000X
License State Indiana
License Number 01026188A
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According to our database, Wm Edward Baltes MD NPI is 1093724643, taxonomy code is 207RC0000X and license number is 01026188A, license state is located at Indiana. Wm Edward Baltes MD physically located at 821 Broadway, Fort Wayne IN, 46802-2107. NPI Number Wm Edward Baltes MD has the Individual type.

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1093724643 NPI number is provided on an as is basis without warranty of any kind. 1093724643 is maintained by the National Plan & Provider Enumeration System. The contents of Wm Edward Baltes MD are for informational purposes only.