Indiana Medical Associates, LLC
NPI #1780628545 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1780628545
- Entity Type
- Organization
- Organization Name
- Indiana Medical Associates, LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 15, 2006
- Last Updated
- Jan 5, 2010
Practice Location
- Address
- 7900 W JEFFERSON BLVD
- Address 2
- SUITE 201
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4128
- Phone
- (260) 969-7100
Authorized Official
- Name
- LOWELL TESKA
- Title
- CEO
- Phone
- (260) 969-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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