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1669463089
PETER A. JAKACKI
FORT WAYNE, IN
NPI
1669463089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01052452A)
Enumeration Date
2005-11-03
Last Update Date
2020-10-01
Business Address
PETER A. JAKACKI MD
2512 E DUPONT RD SUITE 210
FORT WAYNE, IN 46825-1609
Phone number: 260-497-0084
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Mailing Address
PETER A. JAKACKI MD
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3516
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