ADAM UPDEGRAFF

FORT WAYNE, IN
NPI1255561767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: IN  02005087A)
Enumeration Date2009-07-17
Last Update Date2018-09-18
Business Address
ADAM UPDEGRAFF DO
7964 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-436-5670
Mailing Address
ADAM UPDEGRAFF DO
7964 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-436-5670
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