BLUE CRESCENT BLUE STAR MEDICAL OF INDIANA, INC

FORT WAYNE, IN
NPI1235438185
Entity TypeOrganization
Authorized ContactSUNDIATA M EL-AMIN
Owner
859-823-0000
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2011-03-17
Last Update Date2011-03-17
Business Address
BLUE CRESCENT BLUE STAR MEDICAL OF INDIANA, INC
2326 HOBSON RD
FORT WAYNE, IN 46805-2916
Phone number: 859-823-0000
Mailing Address
BLUE CRESCENT BLUE STAR MEDICAL OF INDIANA, INC
2326 HOBSON RD
FORT WAYNE, IN 46805-2916
Phone number: 859-823-0000
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