FORT WAYNE PRIMARY CARE LLC

FORT WAYNE, IN
NPI1528707619
Entity TypeOrganization
Authorized ContactVISHAAL VEERULA
Owner
260-999-6924
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2022-05-27
Last Update Date2022-05-27
Business Address
FORT WAYNE PRIMARY CARE LLC
7802 W JEFFERSON BLVD STE A
FORT WAYNE, IN 46804-4138
Phone number: 260-999-6924
Mailing Address
FORT WAYNE PRIMARY CARE LLC
7802 W JEFFERSON BLVD STE A
FORT WAYNE, IN 46804-4138
Phone number: 260-999-6924
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