Northeast Indiana Urology Pc

NPI 1043498942 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1043498942
Enumeration Date 02/04/2008
Last Updated 08/10/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name JOHN B JOHN
Position MD
Phone (260) 436-6667
Fax (260) 469-7437
Practice Location
140 FOX RD STE 404
VAN WERT OH, 45891-3406, US
Phone (260) 436-6667
Fax (260) 469-7437
Business Location
2512 E. DUPONT RD
SUITE 100
FORT WAYNE IN, 46825, US
Phone (260) 436-6667
Fax (260) 469-7437
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Northeast Indiana Urology Pc NPI is 1043498942, taxonomy code is 332B00000X Northeast Indiana Urology Pc physically located at 140 Fox Rd Ste 404, Van Wert OH, 45891-3406. NPI Number 1033115704 has the healthcare provider type.

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1043498942 NPI number is provided on an as is basis without warranty of any kind. 1043498942 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Indiana Urology Pc are for informational purposes only.