M TERESA TALLON

FORT WAYNE, IN
NPI1649262155
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01039505)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: IN  01039505)
Enumeration Date2005-08-19
Last Update Date2011-08-23
Business Address
-- M TERESA TALLON MD
2821 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number: 260-497-0602
Mailing Address
-- M TERESA TALLON MD
2821 E DUPONT RD
FORT WAYNE, IN 46825-1668
Phone number: 260-497-0602