Individual
ALBERT V EMILIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10343 DAWSONS CREEK BLVD, SUITE A, FORT WAYNE, IN 46825-1906
(260) 203-9600
(260) 739-6167
Mailing address
10343 DAWSONS CREEK BLVD, SUITE A, FORT WAYNE, IN 46825-1906
(260) 203-9600
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01032569
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100374490
—
IN
Enumeration date
07/08/2006
Last updated
01/14/2015
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