Unknown Individual – Specialist, NPI 1285605246
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1234, East Dupont Road, Fort Wayne, Allen County, Indiana, 46825, United States
SUITE 1
FORT WAYNE, IN 468251545
Phone: (260) 373-9700
Fax: (260) 373-9740
Type: Mailing
412, Sawyer Road, Kendallville, Noble County, Indiana, 46755, United States
KENDALLVILLE, IN 46755
Phone: (260) 347-2231
Fax: (260) 347-1322
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46825)
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