Individual
ANTHONY D DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11635 COLDWATER RD, FORT WAYNE, IN 46845-1256
(260) 637-1661
(260) 637-1601
Mailing address
11635 COLDWATER RD, FORT WAYNE, IN 46845-1256
(260) 637-1661
(260) 637-1601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01062780A
IN
Other
Enumeration date
03/06/2007
Last updated
12/11/2007
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