TODD LEE DETURK

FORT WAYNE, IN
NPI1558332403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000810A)
Enumeration Date2006-01-30
Last Update Date2016-11-07
Business Address
-- TODD LEE DETURK P.A.
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Mailing Address
-- TODD LEE DETURK P.A.
PO BOX 2526
FORT WAYNE, IN 46801-2526
Phone number: 260-436-8686
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