CHAD M HENDERSON

FORT WAYNE, IN
NPI1881069797
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71006007A)
Enumeration Date2015-12-03
Last Update Date2016-11-07
Business Address
-- CHAD M HENDERSON RN
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Mailing Address
-- CHAD M HENDERSON RN
PO BOX 2526
FORT WAYNE, IN 46801-2526
Phone number: 260-436-8686
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