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Fort Wayne Medical Oncology And Hematology, INC.

Internal Medicine, Hematology & Oncology in Angola, IN. Organization (NPI-2).

NPI number1528044005
StatusActive
Last updated in NPPESOct 11, 2007

Details

NPI
1528044005
Entity type
Organization (NPI-2)
Legal business name
Fort Wayne Medical Oncology And Hematology, INC.
Organization subpart
Yes
Enumeration date
Dec 16, 2005
Last updated
Oct 11, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RH0003X Internal Medicine, Hematology & Oncology––Yes

Practice location

516 E Maumee St
Angola, IN 46703-2017

Phone 260-668-4040 · Fax 260-668-3897

Mailing address

Po Box 15099
Fort Wayne, IN 46885-5099

Phone 260-484-8830 · Fax 260-483-1911

Authorized official

Anne Krahn
Practice Manager
2609697868

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