# FORT WAYNE MEDICAL EDUCATION PROGRAM INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fort Wayne City County Bld
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730329566
- **Authorized official:** ERIC J WHICKER CFA (FINACIAL OFFICER)
- **Authorized official phone:** (260) 423-2682

## Contact information

- **Practice address:** 1 E MAIN ST STE 510, FORT WAYNE, IN 46802-1815
- **Practice address phone:** (260) 499-8660
- **Mailing address:** 1 E MAIN ST STE 510, FORT WAYNE, IN 46802-1815
- **Mailing address phone:** (260) 499-8660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/06/2009
- **Last updated:** 03/06/2009