Dale H Aeschliman Md Inc

NPI 1154721876 - Family Medicine - 207Q00000X

NPI Details
NPI 1154721876
Enumeration Date 08/29/2014
Last Updated 08/29/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DALE H. DALE
Position PRESIDENT
Phone (260) 441-3253
Fax (260) 441-3214
Practice Location
5717 S ANTHONY BLVD
SUITE 600
FORT WAYNE IN, 46806-3386, US
Phone (260) 441-3253
Fax (260) 441-3214
Business Location
5717 S ANTHONY BLVD
SUITE 600
FORT WAYNE IN, 46806-3386, US
Phone (260) 441-3253
Fax (260) 441-3214
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01025296
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According to our database, Dale H Aeschliman Md Inc NPI is 1154721876, taxonomy code is 207Q00000X and license number is 01025296, license state is located at Indiana. Dale H Aeschliman Md Inc physically located at 5717 S Anthony Blvd, Fort Wayne IN, 46806-3386. NPI Number 1033115704 has the healthcare provider type.

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1154721876 NPI number is provided on an as is basis without warranty of any kind. 1154721876 is maintained by the National Plan & Provider Enumeration System. The contents of Dale H Aeschliman Md Inc are for informational purposes only.