St Joseph Medical Group INC

NPI #1811952070 in Fort Wayne, Indiana

Provider Information

NPI Number
1811952070
Entity Type
Organization
Organization Name
St Joseph Medical Group INC
Primary Specialty
General Practice
Enumeration Date
Apr 19, 2006
Last Updated
Dec 15, 2015

Practice Location

Address
2622 LAKE AVE
State
Indiana
ZIP Code
46805-5410
Phone
(260) 425-3100

Authorized Official

Name
SOPHIA L ARWOOD
Title
DIRECTOR OF PHYSICIAN OPERATIONS
Phone
(615) 628-6038

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Internal Medicine
Family Medicine
Internal Medicine - Geriatric MedicineGeriatric Medicine
Psychiatry & Neurology - PsychiatryPsychiatry
Allergy & Immunology
Pediatrics
Internal Medicine - Hematology & OncologyHematology & Oncology
Nurse Practitioner
Physician Assistant
Social Worker
Internal Medicine - Pulmonary DiseasePulmonary Disease
Orthopaedic Surgery
General Practice

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