# WOMEN'S HEALTH ADVANTAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124007158
- **Authorized official:** ROGER E SPORRE MD (PRESIDENT)
- **Authorized official phone:** (260) 432-4400

## Contact information

- **Practice address:** 1818 CAREW ST, SUITE 230, FORT WAYNE, IN 46805-4788
- **Practice address phone:** (260) 482-8241
- **Practice address fax:** (260) 373-4144
- **Mailing address:** 1818 CAREW ST, SUITE 230, FORT WAYNE, IN 46805-4788
- **Mailing address phone:** (260) 482-8241
- **Mailing address fax:** (260) 373-4144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2006
- **Last updated:** 08/22/2020