INNOVATIVE PROFESSIONAL SERVICE 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 INNOVATIVE PROFESSIONAL SERVICE LLC NPI is 1679836910. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3464 STELLHORN RD
FORT WAYNE, IN
ZIP 46815-630
Phone: (260) 432-6508
Fax: (260) 432-6586
The provider's authorized official is Terry Yeiter .
The authorized official title is Office Manager and has the following contact phone number (260) 432-6508.
The enumeration date for this NPI number is 6/21/2012 and was last updated on 6/21/2012.