Individual provider · Type 1 NPI

Sun Jiang Guo, MD

Specialist · Fort Wayne, IN

NPI number 1942211362 Active

Practice location

2121 Lake Ave
Fort Wayne, IN 46805-5100

Call (260) 426-5431 Map

Mailing address

8916 Laurel Hurst
Fort Wayne, IN 46835-8866

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X01029090A (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1942211362

Sun Jiang Guo, MD's National Provider Identifier is 1942211362, issued on Aug 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2007.