AMANDA J PATCH

FORT WAYNE, IN
NPI1891060075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  11015098A)
Enumeration Date2012-03-20
Last Update Date2022-10-10
Business Address
AMANDA J PATCH M.D.
5693 YMCA PARK DR W
FORT WAYNE, IN 46835-3280
Phone number: 260-469-6603
Mailing Address
AMANDA J PATCH M.D.
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: