Holtsclaw Medical Centre, LLC
NPI #1235146812 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1235146812
- Entity Type
- Organization
- Organization Name
- Holtsclaw Medical Centre, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4666 W JEFFERSON BLVD
- Address 2
- SUITE 140
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6892
- Phone
- (260) 432-0100
Authorized Official
- Name
- LISA MICHELLE HOLTSCLAW, DO
- Title
- MEMBER
- Phone
- (260) 432-0100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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