JOHN R STANFORD

FORT WAYNE, IN
NPI1639171499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: IN  01028422A)
Enumeration Date2005-08-11
Last Update Date2007-07-08
Business Address
-- JOHN R STANFORD M.D.
2414 E STATE BLVD CAREW BUILDING #1, SUITE 201
FORT WAYNE, IN 46805-4760
Phone number: 260-482-4741
Mailing Address
-- JOHN R STANFORD M.D.
2414 E STATE BLVD CAREW BUILDING #1, SUITE 201
FORT WAYNE, IN 46805-4760
Phone number: 260-482-4741
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