Individual
DR. GERRY S EASTERDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3978 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 672-4680
(260) 672-4685
Mailing address
3978 NEW VISION DR, FORT WAYNE, IN 46845-1712
(260) 672-4680
(260) 672-4685
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01036101A
IN
Other
Enumeration date
09/13/2005
Last updated
04/10/2014
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