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ANNALISSA SMITH
Family Medicine Physician
NPI: 1710515887IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
02007064A(IN)
CMS Specialties
PrimaryFAMILY PRACTICE
Education
OTHER
Class of 2020
Contact & Hours
- Address
- 1818 CAREW ST STE 120
FORT WAYNE, IN 46805 - Phone
- (260) 425-6200
Quick Facts
- NPI
- 1710515887
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 6
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