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1649385519
E JON BRANDENBERGER
FORT WAYNE, IN
NPI
1649385519
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01028550A)
Enumeration Date
2006-08-20
Last Update Date
2022-10-07
Business Address
Dr. E JON BRANDENBERGER
1818 CAREW ST STE 120
FORT WAYNE, IN 46805-4764
Phone number: 260-425-6200
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Mailing Address
Dr. E JON BRANDENBERGER
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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