Fawver Waldo Clinic Llp

NPI 1174536346 - Clinic/Center - 261QM0850X

NPI Details
NPI 1174536346
Enumeration Date 08/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JAY D JAY
Position MANAGING PARTNER
Phone (260) 436-4060
Fax (260) 436-5713
Practice Location
6920 POINTE INVERNESS WAY
SUITE 250
FORT WAYNE IN, 46804-7926, US
Phone (260) 436-4060
Fax (260) 436-5713
Business Location
6920 POINTE INVERNESS WAY
SUITE 250
FORT WAYNE IN, 46804-7926, US
Phone (260) 436-4060
Fax (260) 436-5713
Toxanomy
Taxonomy Code 261QM0850X
License State
License Number
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According to our database, Fawver Waldo Clinic Llp NPI is 1174536346, taxonomy code is 261QM0850X Fawver Waldo Clinic Llp physically located at 6920 Pointe Inverness Way, Fort Wayne IN, 46804-7926. NPI Number 1033115704 has the healthcare provider type.

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1174536346 NPI number is provided on an as is basis without warranty of any kind. 1174536346 is maintained by the National Plan & Provider Enumeration System. The contents of Fawver Waldo Clinic Llp are for informational purposes only.