INNOVATIVE PROFESSIONAL SERVICE LLC

General Practice Physician

NPI: 1679836910Organization

Specialties, Licenses & Credentials

General Practice PhysicianPrimary

General Practice

Code: 208D00000X

01025672(IN)

Contact & Hours

Address: 3464 STELLHORN RD
FORT WAYNE, IN 46815
Phone: (260) 432-6508

Quick Facts

NPI: 1679836910
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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