Unknown Individual – Family Medicine Physician, NPI 1801895933
Family Medicine Physician
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 3
FORT WAYNE, IN 468251545
Phone: (260) 373-9965
Fax: (260) 458-5664
Type: Mailing
306, East Maumee Street, Angola, Steuben County, Indiana, 46703, United States
SUITE 8
ANGOLA, IN 467032038
Phone: (260) 665-1337
Fax: (260) 665-2086
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 ·
Educational use only—not medical, billing, or legal advice.
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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