Organization
SHEILA FALLOON MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA C FALLOON MD (PRESIDENT/OWNER)
(260) 494-5884
Entity
Organization
Contact information
Practice address
6232 SHADY CREEK CT, FORT WAYNE, IN 46814-3298
(260) 494-5884
(260) 426-0270
Mailing address
6232 SHADY CREEK CT, FORT WAYNE, IN 46814-3298
(260) 494-5884
(260) 426-0270
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01043979A
IN
Other
Enumeration date
01/07/2015
Last updated
03/17/2015
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