PEDIATRIC & ADULT ALLERGY ASTHMA & IMMUNOLOGY SPECIALISTS, LLC

FORT WAYNE, IN
NPI1790801512
Entity TypeOrganization
Authorized ContactMONICA S NELSON
Business Manager
260-422-5569
Organization Subpart ?No
Primary Taxonomy207K00000X Allergy & Immunology
Enumeration Date2007-03-22
Last Update Date2020-08-22
Business Address
PEDIATRIC & ADULT ALLERGY ASTHMA & IMMUNOLOGY SPECIALISTS, LLC
3030 LAKE AVE SUITE 27
FORT WAYNE, IN 46805-5428
Phone number: 260-422-5569
Mailing Address
PEDIATRIC & ADULT ALLERGY ASTHMA & IMMUNOLOGY SPECIALISTS, LLC
3030 LAKE AVE SUITE 27
FORT WAYNE, IN 46805-5428
Phone number: 260-422-5569
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