HOLTSCLAW MEDICAL CENTRE LLC NPI 1235146812

NPI Information

HOLTSCLAW MEDICAL CENTRE, LLC 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. HOLTSCLAW MEDICAL CENTRE, LLC NPI is 1235146812. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4666 W JEFFERSON BLVD
SUITE 140
FORT WAYNE, IN
ZIP 46804-892
Phone: (260) 432-0100

The provider's authorized official is Lisa Michelle Holtsclaw .
The authorized official title is Member and has the following contact phone number (260) 432-0100.

The enumeration date for this NPI number is 8/3/2006 and was last updated on 8/22/2020.

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:

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