JAY FAWVER

ANGOLA, IN
NPI1164457404
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN  01032403A)
Enumeration Date2006-07-12
Last Update Date2023-11-08
Business Address
JAY FAWVER MD
301 E MAUMEE ST
ANGOLA, IN 46703-2012
Phone number: 260-667-5635
Mailing Address
JAY FAWVER MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: 260-266-6013
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