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Organization
INPHYNET PRIMARY CARE PHYSICIANS MIDWEST, S.C.
Active
Organization
INPHYNET PRIMARY CARE PHYSICIANS MIDWEST, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER K CHOI MD (OWNER/PRESIDENT)
(856) 686-4342
Entity
Organization
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 435-2699
Mailing address
BOX 635407, CINCINNATI, OH 45263-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE3669
MEDICARE TRAVELERS RR-GA
IN
Enumeration date
07/07/2006
Last updated
06/16/2023
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