ST JOSEPH MEDICAL GROUP INC

FORT WAYNE, IN
NPI1811952070
Entity TypeOrganization
Authorized ContactSOPHIA L ARWOOD
Director Of Physician Operations
615-628-6038
Organization Subpart ?No
Primary Taxonomy208D00000X General Practice
Additional Taxonomies207L00000X Anesthesiology
207R00000X Internal Medicine
207Q00000X Family Medicine
207RG0300X Internal Medicine, Geriatric Medicine
2084P0800X Psychiatry & Neurology, Psychiatry
207K00000X Allergy & Immunology
208000000X Pediatrics
207RH0003X Internal Medicine, Hematology & Oncology
363L00000X Nurse Practitioner
363A00000X Physician Assistant
104100000X Social Worker
207RP1001X Internal Medicine, Pulmonary Disease
207X00000X Orthopaedic Surgery
Enumeration Date2006-04-19
Last Update Date2015-12-15
Business Address
ST JOSEPH MEDICAL GROUP INC
2622 LAKE AVE
FORT WAYNE, IN 46805-5410
Phone number: 260-425-3100
Mailing Address
ST JOSEPH MEDICAL GROUP INC
2622 LAKE AVE
FORT WAYNE, IN 46805-5410
Phone number: 260-425-3100