CHRISTINA A TATARA

FORT WAYNE, IN
NPI1760912026
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02005457A)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IN  11019568A)
Enumeration Date2017-06-19
Last Update Date2021-09-15
Business Address
CHRISTINA A TATARA DO
7938 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-458-3575
Mailing Address
CHRISTINA A TATARA DO
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-458-3575
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