Individual
ROSS HAFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7616 DISALLE BLVD STE A, FORT WAYNE, IN 46825-3383
(888) 790-9896
(260) 451-2530
Mailing address
7616 DISALLE BLVD STE A, FORT WAYNE, IN 46825-3383
(888) 790-9896
(260) 451-2530
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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