| NPI | 1609867605 |
|---|---|
| Doing Business As | FORT WAYNE NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | ISA S CANAVATI President 260-436-2416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology | |
| 363L00000X Nurse Practitioner | |
| 163W00000X Registered Nurse | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2018-12-07 |