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1790120731
BRAD EDWARD WARNER
FORT WAYNE, IN
NPI
1790120731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IN 02004712A)
Enumeration Date
2013-05-03
Last Update Date
2018-11-13
Business Address
BRAD EDWARD WARNER DO
11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845-1701
Phone number: 260-266-1000
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Mailing Address
BRAD EDWARD WARNER DO
3640 NEW VISION DR STE A
FORT WAYNE, IN 46845-1717
Phone number: 260-482-4440
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