Qhg of Fort Wayne Company LLC

NPI #1083656573 in Fort Wayne, Indiana

Provider Information

NPI Number: 1083656573
Entity Type: Organization
Organization Name: Qhg of Fort Wayne Company LLC
Primary Specialty: General Practice
Enumeration Date: Jun 11, 2006
Last Updated: Feb 27, 2008

Practice Location

Address: 3717 MAPLECREST RD
City: Fort Wayne
State: Indiana
ZIP Code: 46815-8424
Phone: (260) 486-7334

Authorized Official

Name: DEBBIE T BREWER
Title: DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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