SHAOXUAN GUO

FORT WAYNE, IN
NPI1346064136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10004699A)
Enumeration Date2024-11-08
Last Update Date2025-03-03
Business Address
SHAOXUAN GUO
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-672-6620
Mailing Address
SHAOXUAN GUO
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: