Individual
DR. DIANE L HOPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-4000
Mailing address
2414 E STATE BLVD, SUITE 202, FORT WAYNE, IN 46805-4760
(260) 482-4440
(260) 482-4442
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01027815
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000010618
MPLAN
—
01
—
000000082531
ANTHEM
IN
05
—
0551595
—
OH
Enumeration date
11/17/2005
Last updated
07/08/2007
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