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1851749147
ERIC SHOEMAKER
FORT WAYNE, IN
NPI
1851749147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 11018751A)
Enumeration Date
2016-05-27
Last Update Date
2024-02-01
Business Address
ERIC SHOEMAKER
1007 W RUDISILL BLVD
FORT WAYNE, IN 46807
Phone number: 260-425-5180
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Mailing Address
ERIC SHOEMAKER
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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