| NPI | 1043644354 |
|---|---|
| Former Legal Business Name | FORT WAYNE OCCUPATIONAL MEDICAL CLINIC PC |
| Entity Type | Organization |
| Authorized Contact | SYED M. SOHAIL Owner/Provider 260-471-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01059980A) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2013-08-23 |