Individual
WILLIAM H COUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 N CLINTON STREET, FORT WAYNE, IN 46825
(260) 484-8551
(260) 484-9603
Mailing address
5050 N CLINTON STREET, FORT WAYNE, IN 46825
(260) 484-8551
(260) 484-9603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01023850A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100185990
—
IN
Enumeration date
08/23/2005
Last updated
10/19/2010
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