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1376533158
FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC
FORT WAYNE, IN
NPI
1376533158
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Entity Type
Organization
Authorized Contact
BETHANY GISSLEN
CFO
260-484-8830
Organization Subpart ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
Enumeration Date
2005-10-24
Last Update Date
2023-12-04
Business Address
FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC
2514 E DUPONT RD STE 100
FORT WAYNE, IN 46825-1619
Phone number: 260-484-8830
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Mailing Address
FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY, INC
6610 MUTUAL DR
FORT WAYNE, IN 46825-4236
Phone number: 260-484-8830
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