QHG OF FORT WAYNE COMPANY LLC is a general practice in Fort Wayne, IN. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee QHG OF FORT WAYNE COMPANY LLC NPI is 1083656573. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
3717 MAPLECREST RD
FORT WAYNE, IN
ZIP 46815-424
Phone: (260) 486-7334
The provider's authorized official is Debbie T Brewer .
The authorized official title is Director Of Provider Enrollment and has the following contact phone number (615) 465-7626.
The enumeration date for this NPI number is 6/11/2006 and was last updated on 2/27/2008.