Organization
FORT WAYNE PHYSICAL MEDICINE P C
Active
Other names
Fort Wayne Physical Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MARK V REECER MD (OWNER)
(260) 436-9337
Entity
Organization
Contact information
Practice address
5750 COVENTRY LN, SUITE 101, FORT WAYNE, IN 46804-7166
(260) 436-9337
(260) 436-9626
Mailing address
5750 COVENTRY LN, SUITE 101, FORT WAYNE, IN 46804-7166
(260) 436-9337
(260) 436-9626
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
04/25/2007
Last updated
10/05/2023
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