Organization · Type 2 NPI

QHG of Fort Wayne Company LLC

General Practice Physician · Fort Wayne, IN

NPI number 1083656573 Active

About NPI 1083656573

QHG of Fort Wayne Company LLC's National Provider Identifier is 1083656573, issued on Jun 11, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Feb 27, 2008.