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1043657117
BRETT L. SKRAMSTAD
FORT WAYNE, IN
NPI
1043657117
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10001553A)
Enumeration Date
2013-05-30
Last Update Date
2013-09-10
Business Address
-- BRETT L. SKRAMSTAD PA
2200 RANDALLIA DR
FORT WAYNE, IN 46805-4638
Phone number: 260-373-4000
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Mailing Address
-- BRETT L. SKRAMSTAD PA
3640 NEW VISION DRIVE SUITE A
FORT WAYNE, IN 46845-1717
Phone number: 260-482-4440
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