Northeast Indiana Genetics, LLC
NPI #1356764419 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1356764419
- Entity Type
- Organization
- Organization Name
- Northeast Indiana Genetics, LLC
- Primary Specialty
- Medical Genetics - Clinical Genetics (M.D.)
- Enumeration Date
- Jan 27, 2014
- Last Updated
- Jan 31, 2018
Practice Location
- Address
- 7230 ENGLE RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-2209
- Phone
- (260) 482-3886
Authorized Official
- Name
- MR. JOSEPH BADER
- Title
- OFFICE MANAGER
- Phone
- (260) 482-3886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Genetics - Clinical Genetics (M.D.) — Clinical Genetics (M.D.) |
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