Organization
FORT WAYNE CARE INC
Active
Organization
FORT WAYNE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE WOOLIAN CHOU MD (CEO)
(260) 602-0451
Entity
Organization
Contact information
Practice address
347 W BERRY ST, SUITE 216, FORT WAYNE, IN 46802-2299
(260) 602-0451
Mailing address
347 W BERRY ST, SUITE 216, FORT WAYNE, IN 46802-2299
(260) 602-0451
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01058048A
IN
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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