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Organization
CREDO HEALTH GROUP, LLC
Active
Organization
CREDO HEALTH GROUP, LLC
Active
Other names
Credo Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J. MULLALLY M.D. (OWNER)
(260) 445-5829
Entity
Organization
Contact information
Practice address
10050 AUBURN PARK DR, FORT WAYNE, IN 46825-2389
(260) 432-6459
(260) 240-5284
Mailing address
10050 AUBURN PARK DR, FORT WAYNE, IN 46825-2389
(260) 432-6459
(260) 240-5284
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01074259A
IN
Other
Enumeration date
05/18/2016
Last updated
02/14/2025
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