| NPI | 1992696009 | 
|---|---|
| Doing Business As | FORT WAYNE MEDICAL ONCOLOGY AND HEMATOLOGY | 
| Entity Type | Organization | 
| Authorized Contact | RYAN K OLSON Owner/President 239-561-9622 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology | 
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology | 
| 207RH0000X Internal Medicine, Hematology | |
| Enumeration Date | 2025-07-15 | 
| Last Update Date | 2025-07-15 |