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1821040791
EUSTACE S. FERNANDES
FORT WAYNE, IN
NPI
1821040791
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IN 01060794A)
Enumeration Date
2006-05-17
Last Update Date
2020-09-23
Business Address
EUSTACE S. FERNANDES MD
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
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Mailing Address
EUSTACE S. FERNANDES MD
6920 POINTE INVERNESS WAY STE 200 MEDPARTNERS, ATTN: BARB COPELAND
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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