BASIL C GENETOS

FORT WAYNE, IN
NPI1184626590
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
(Licence: IN  01024857A)
Enumeration Date2005-08-15
Last Update Date2016-11-28
Business Address
BASIL C GENETOS MD
11108 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1730
Phone number: 260-266-5700
Mailing Address
BASIL C GENETOS MD
3926 NEW VISION DR SUITE3
FORT WAYNE, IN 46845-1712
Phone number: 260-373-7875
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