Indiana Epilepsy and Child Neurology, Inc.
NPI #1871668582 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1871668582
- Entity Type
- Organization
- Organization Name
- Indiana Epilepsy and Child Neurology, Inc.
- Primary Specialty
- Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology
- Enumeration Date
- Nov 21, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4310 LAKE AVE
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46815-7222
- Phone
- (260) 426-9996
Authorized Official
- Name
- MR. DON STAUFFER
- Title
- VICE PRESIDENT
- Phone
- (260) 426-9996
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology — Neurology with Special Qualifications in Child Neurology |
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