MANOJ R SURYAWALA

FORT WAYNE, IN
NPI1861508483
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IN  01052547A)
Enumeration Date2006-08-23
Last Update Date2007-07-08
Business Address
-- MANOJ R SURYAWALA m.d
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
-- MANOJ R SURYAWALA m.d
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
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