HARRISON MARTIN

FORT WAYNE, IN
NPI1720704745
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71013155A)
Enumeration Date2022-10-12
Last Update Date2026-02-02
Business Address
HARRISON MARTIN
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-969-7280
Mailing Address
HARRISON MARTIN
9321 COVINGTON WOODS CT
FORT WAYNE, IN 46804-7771
Phone number:
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