AEDEN J LIGON

FORT WAYNE, IN
NPI1003666470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207PS0010X Emergency Medicine, Sports Medicine
(Licence: IN  36003793A)
Enumeration Date2024-03-26
Last Update Date2024-03-26
Business Address
AEDEN J LIGON
9216 CRYSTAL SPRING DR
FORT WAYNE, IN 46804-6510
Phone number: 765-480-9828
Mailing Address
AEDEN J LIGON
9216 CRYSTAL SPRING DR
FORT WAYNE, IN 46804-6510
Phone number: 765-480-9828