ALEX MARSHALL WIEDENHOEFT

FORT WAYNE, IN
NPI1346923257
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-08-08
Last Update Date2023-08-08
Business Address
ALEX MARSHALL WIEDENHOEFT PA-C
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-1000
Mailing Address
ALEX MARSHALL WIEDENHOEFT PA-C
608 UNION CHAPEL RD
FORT WAYNE, IN 46845-9357
Phone number:
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