ST JOSEPH MEDICAL GROUP INC NPI 1811952070

NPI Information

ST JOSEPH MEDICAL GROUP INC 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 ST JOSEPH MEDICAL GROUP INC NPI is 1811952070. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2622 LAKE AVE
FORT WAYNE, IN
ZIP 46805-410
Phone: (260) 425-3100

The provider's authorized official is Sophia L Arwood .
The authorized official title is Director Of Physician Operations and has the following contact phone number (615) 628-6038.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 12/15/2015.

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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