| NPI | 1083833297 |
|---|---|
| Doing Business As | FORT WAYNE PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARK V REECER Owner 260-436-9337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2023-10-05 |