Pediatrics Center of Fort Wayne, P.c.
NPI #1568595999 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1568595999
- Entity Type
- Organization
- Organization Name
- Pediatrics Center of Fort Wayne, P.c.
- Primary Specialty
- Pediatrics
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3030 LAKE AVE
- Address 2
- #25A
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46805-5428
- Phone
- (260) 422-4096
Authorized Official
- Name
- MRS. ELIZABETH FEDORIW, B.A., M.A.
- Title
- OFFICE ADMINISTRATOR
- Phone
- (260) 422-4096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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