Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Regen Med of Indiana LLC

Organization General Practice Physician · NPI 1104395680

Regen Med of Indiana LLC provides General Practice Physician services in Fort Wayne, Indiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5931 Stoney Creek Dr
Fort Wayne, IN 46825-4401
Phone: (260) 482-2206
Fax: (260) 483-3964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1104395680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tonna Chalfant — Manager · (260) 482-2206
NPI enumeratedNovember 14, 2018
Last updated in NPPESNovember 14, 2018
Mailing address5931 Stoney Creek Dr, Fort Wayne, IN 46825-4401

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