Organization · Type 2 NPI

Medical Group of Fort Wayne, P.c.

Cardiovascular Disease Physician · Fort Wayne, IN

NPI number 1811956337 Active

Practice location

7916 W Jefferson Blvd
Fort Wayne, IN 46804-4140

Call (260) 432-2297 Map

Fax (260) 434-6420

Mailing address

PO Box 2505
Fort Wayne, IN 46801-2505

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician 207K00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Cardiovascular Disease Physician Primary 207RC0000XNone listed
Clinical Cardiac Electrophysiology Physician 207RC0001XNone listed
Critical Care Medicine (Internal Medicine) Physician 207RC0200XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Gastroenterology Physician 207RG0100XNone listed
Interventional Cardiology Physician 207RI0011XNone listed
Infectious Disease Physician 207RI0200XNone listed
Pulmonary Disease Physician 207RP1001XNone listed
Rheumatology Physician 207RR0500XNone listed
Sleep Medicine (Internal Medicine) Physician 207RS0012XNone listed
Nuclear Cardiology Physician 207UN0901XNone listed
Hospitalist Physician 208M00000XNone listed
Nurse Practitioner 363L00000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1811956337

Medical Group of Fort Wayne, P.c.'s National Provider Identifier is 1811956337, issued on Mar 22, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 12, 2008.