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1619984341
MARC WOOTEN
FORT WAYNE, IN
NPI
1619984341
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: TX H6716)
Enumeration Date
2006-08-02
Last Update Date
2007-07-08
Business Address
Dr. MARC WOOTEN M.D.
2121 LAKE AVE DEPARTMENT OF VETERANS AFFAIRS (11)
FORT WAYNE, IN 46805-5100
Phone number: 260-460-1311
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Mailing Address
Dr. MARC WOOTEN M.D.
2121 LAKE AVE DEPARTMENT OF VETERANS AFFAIRS (11)
FORT WAYNE, IN 46805-5100
Phone number: 260-460-1311
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