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Organization
FORT WAYNE ENDOCRINOLOGY PC
Active
Organization
FORT WAYNE ENDOCRINOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNEY NEWBY (OFFICE MANAGER)
(260) 436-1248
Entity
Organization
Contact information
Practice address
5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
(260) 436-1248
(260) 436-7968
Mailing address
5010 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6804
(260) 436-1248
(260) 436-7968
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
02/11/2026
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