Dr. Carol P Garrean, M.D.
Internal Medicine in Fort Wayne, IN. Individual provider (NPI-1).
NPI number1013179357
StatusActive
Last updated in NPPESApr 14, 2025
Details
- NPI
- 1013179357
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carol P Garrean
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2008
- Certification date
- Apr 14, 2025
- Last updated
- Apr 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 01070447A | IN | Yes |
| 208M00000X | Hospitalist | 256302 | NY |
Practice location
4402 E State BlvdFort Wayne, IN 46815-6917
Phone 260-425-5600 · Fax 260-425-5605
Mailing address
11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
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