ILLYA DANILCHEV

FORT WAYNE, IN
NPI1538762570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: IN  75000074A)
Enumeration Date2020-11-20
Last Update Date2021-03-08
Business Address
ILLYA DANILCHEV
11141 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845-1714
Phone number: 260-425-6030
Mailing Address
ILLYA DANILCHEV
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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