Fort Wayne Medical Institute
Fort Wayne Medical Institute provides Specialist services in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2008.
- Licensed in
- IN
- In the registry since
- 2008
Practice location Address checks out
4424 E State BlvdFort Wayne, IN 46815-6917
Phone: (260) 483-4433
Fax: (260) 483-4223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 01042585 (IN) |
|---|
Record details
| NPI number | 1659549475 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Hassan Taki — Owner · (260) 483-4433 |
| NPI enumerated | February 14, 2008 |
| Last updated in NPPES | December 22, 2020 |
| Certification date | December 22, 2020 |
| Mailing address | 4424 E State Blvd, Fort Wayne, IN 46815-6917 |
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