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MELVIN SUSANTO, MD

MD

Family Medicine Physician

NPI: 1558939629IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

01091229A(IN)

CMS Specialties

PrimaryFAMILY PRACTICE

Education

OTHER

Class of 2021

Contact & Hours

Address
12404 LIMA CROSSING DR
FORT WAYNE, IN 46818

Quick Facts

NPI
1558939629
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
5
Publications
3

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