REGEN MED OF INDIANA LLC

FORT WAYNE, IN
NPI1104395680
Entity TypeOrganization
Authorized ContactTONNA B. CHALFANT
Manager
260-482-2206
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Enumeration Date2018-11-14
Last Update Date2018-11-14
Business Address
REGEN MED OF INDIANA LLC
5931 STONEY CREEK DR
FORT WAYNE, IN 46825-4401
Phone number: 260-482-2206
Mailing Address
REGEN MED OF INDIANA LLC
5931 STONEY CREEK DR
FORT WAYNE, IN 46825-4401
Phone number: 260-482-2206
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