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1962011684
MELINDA PEISERICH
FORT WAYNE, IN
NPI
1962011684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IN 10003230A)
Enumeration Date
2020-07-28
Last Update Date
2021-04-23
Business Address
MELINDA PEISERICH PA-C
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804-4128
Phone number: 260-702-8055
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Mailing Address
MELINDA PEISERICH PA-C
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804-4128
Phone number: 260-458-3610
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