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1053382234
ERIC VAUGHN HEATWOLE
FORT WAYNE, IN
NPI
1053382234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IN 01057573)
Enumeration Date
2006-01-27
Last Update Date
2016-06-17
Business Address
Dr. ERIC VAUGHN HEATWOLE MD
5001 US HIGHWAY 30 W STE D
FORT WAYNE, IN 46818-9701
Phone number: 260-432-1568
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Mailing Address
Dr. ERIC VAUGHN HEATWOLE MD
PO BOX 80070
FORT WAYNE, IN 46898-0070
Phone number: 260-432-1568
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