# NORTHEAST INDIANA GENETIC COUNSELING CENTER INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1881678860
- **Authorized official:** MRS. PATRICIA I BADER M.D. (PHYSICIAN)
- **Authorized official phone:** (260) 482-3886

## Contact information

- **Practice address:** 11143 PARKVIEW PLAZA DR, STE. 311, FORT WAYNE, IN 46845-1701
- **Practice address phone:** (260) 482-3886
- **Practice address fax:** (260) 482-1910
- **Mailing address:** 11143 PARKVIEW PLAZA DR, STE. 311, FORT WAYNE, IN 46845-1701
- **Mailing address phone:** (260) 482-3886
- **Mailing address fax:** (260) 482-1910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207SC0300X | Clinical Cytogenetics Physician | 01022953 | IN | — |
| 207SG0201X | Clinical Genetics (M.D.) Physician | 01022953 | IN | Yes |
| 208000000X | Pediatrics Physician | 01022953 | IN | — |

## Other

- **Enumeration date:** 12/02/2005
- **Last updated:** 05/27/2009