Fort Wayne Integrative Medicine
NPI #1245686989 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1245686989
- Entity Type
- Organization
- Organization Name
- Fort Wayne Integrative Medicine
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 12, 2016
- Last Updated
- Apr 18, 2018
Practice Location
- Address
- 3919 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-6811
- Phone
- (260) 475-0772
Authorized Official
- Name
- DR. VISHAAL VEERULA, MD
- Title
- MEDICAL DIRECTOR
- Phone
- (260) 475-0772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Internal Medicine |
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