Michael J Phend, Md | |
3124 E State Blvd Suite 3f Fort Wayne IN 46805-4798 | |
(260) 482-1681 | |
(260) 482-1857 |
Full Name | Michael J Phend, Md |
---|---|
Speciality | Internal Medicine |
Location | 3124 E State Blvd, Fort Wayne, Indiana |
Authorized Official Name and Position | Micheal James Phend (PHYSICIAN) |
Authorized Official Contact | 2604821681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Michael J Phend, Md 6728 Sweet Wood Ct Fort Wayne IN 46814-8127 Ph: (260) 482-1681 | Michael J Phend, Md 3124 E State Blvd Suite 3f Fort Wayne IN 46805-4798 Ph: (260) 482-1681 |
NPI Number | 1346380847 |
---|---|
Provider Enumeration Date | 02/07/2007 |
Last Update Date | 01/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346380847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01030254 (Indiana) | Primary |
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