FORT WAYNE MEDICAL EDUCATION PROGRAM NPI 1184635153

NPI Information

FORT WAYNE MEDICAL EDUCATION PROGRAM is a family medicine in Fort Wayne, IN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FORT WAYNE MEDICAL EDUCATION PROGRAM NPI is 1184635153. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As The Family Medicine Center.

The provider's business location address is:

750 BROADWAY
SUITE 350
FORT WAYNE, IN
ZIP 46802-412
Phone: (260) 423-2675
Fax: (260) 423-6621

The provider's authorized official is Kimberly Harris .
The authorized official title is Chief Operating Officer and has the following contact phone number (260) 423-2682.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 4/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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